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HomeMy WebLinkAbout36775-Z '�gUFFaIK Town of Southold Annex 5/14/2012 �o`p ©may P.O.Box 1179 54375 Main Road of �� Southold,New York 11971 CERTIFICATE-OF OCCUPANCY No: 35596 Date: 5/14/2012 THIS CERTIFIES that the building SHED Location of Property: 6790 Horton Ln, Southold, SCTM#: 473889 Sec/Block/Lot: 54.-3-14.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/18/2011 pursuant to which Building Permit No. 36775 dated 10/26/2011 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: 12' X 12'accessory shed as applied for. The certificate is issued to Winters,Penelope (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au orized Signature rsuFFnc��o TOWN OF SOUTHOLD BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE IS. . � �? SOUTHOLD, NY �1 ' BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 36775 Date: 1 012 6/2 0 1 1 Permission is hereby granted to: Winters, Penelope 6790 Horton Ln PO BOX 335 Southold, NY 11971 To: Construct a 12' X 12% accessory shed, as applied for At premises located at: 6790 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot# 54.-3-14.5 Pursuant to application dated 10/18/2011 and approved by the Building Inspector. To expire on 4/26/2013. Fees: CO -ACCESSORY BUILDING $50.00 ALTERATION OF ACCESSORY BUILDINGS $157.60 Total: $207.60 Bui ding Inspector Form No.6. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1302 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 2110 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 April9, 1957) non-conforming uses,or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and u.n.usual natural or topographic features. 2. 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 (he applicant. C. Fees 1. Certificate of Occupancy - New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming.pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy oil Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. . Updated Certificate of Occupancy- $50.00 .5_ Temporary Certificate of Occupancy- Residential $15:00, Commercial $15.00 Date. New Construction: Old or Pre-existing Buildin. . (check one) Location of Property: House No. Street Ha{nlet Owner or Owners of Property: ?e VI C--, I Dpe Suffolk County Tax Map No 1000, Section ��'. =; Block Lot Subdivision / Filed Map. ; . Permit No. 3(o 7_7� Date of Permit. -- Applicant: Health Dept.Approval: Underwriters Approval: 2012 Planning Board Approval: BLDG.DEPT. Request for: ' Temporary Certificate Filial Certificate: check one) WN OF SOUTHOLD Fee Submitted: ed L01 Applicant Signature SOpr�,O� 3L77-T courm, ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION- FRAMING/STRAPPING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [. ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ✓'G� FIELD]NSPEON ItF,PORT DATE COMMENTS. • FOUNDATION_(1ST) J FOUNDATION(2ND) • x O • f ROUGH FRAMING& PLUMING .. �. INSULATION PER N.Y. H STATE ENERGY CODE f ^ • y 3-3o �. . FINAL ADDITIONAL COMMENTS V` o' TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HA$,L 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. 3 �i Check �� d Septic Form N.Y.S.D.E.C. Trustees C.O. Application J Flood Pennit Examined /" 20 I I Single&Separate Storm-Water Assessment Form Contact: Approved G� 20 Mail to: Disapproved a/c Phone: Expiration d(o 20a E V Building Inspector D OCT 1 8 2011 LICATION FOR BUILDING PERMIT Date /0 �� , 20// BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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 Pen-nit. 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, housi elegy aft a ion , to admit authorized inspectors on premises and in building for necessary inspections. more` /Y(.i2, l S �° 1 Y 0GCUFANG OR (Signature of applicant or name, if a corporation) I6" UNLAWFUL VVITHOUT��CERTIFICATE- ��E RTI FICATE- (Mailing address of applicant) State whether applicant is own V,leis @ ge lt,�aNCY't, engineer, general contraA6f ROVE-04 Nomor builder DATE �� . B.P.# -�7 0 F BY Name of owner of premises71 AC (, � FY BUILDING DEPARTMENT (As on the tax roll or la# a6R)) 8 AM TO 4 PM FOR T HE If applicant is a corporation, signature of duly authorized officer LLOWING INSPECTIONS 1. FOUNDATION - TVV!") P::OUIRFD FOR POURED ,..0':C-,.,. (Name and title of corporate officer) 2. ROUGH-FRAMING °L;;".1BI'Ji, Builders License No. STPAPPING. ELECTRiC�'A° ; Plumbers License No. 3. INSULATI ;N 4. FINAL-CONSTRUCTION 8 E-�� Electricians License No. MUST BE COMPI ETE E�R,V 0 Other Trade's License No. ALL CONSTRUCTION SHAL.. '.'F=T Try REQUIREMENTS OF THE --,ES OF vEW 1. Location of land on which pro work will be done: YORK STATE. NOT RESPONS'BLE FOR O �) I ML NSTRUCTION ERRORS. House Number Street Hamlet County Tax Map No. 1000 Section 5q Block Lot Subdivision Filed Map No. Lot . i 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Ab. Intended use and occupancy Sal<J 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 `Rear Depth Height Number of,Stories 8. Dimensions of entire new construction: Front / Rear Oeptli 'f l �, Height VWNumber of Stories 9. Size of lot: Front I Rear Depth 10. Date of Purchase Name of Fornler Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zomn 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 premisesTi(-,kAm j)Ll��ddress(�g 73 NS Phone No. 6, 9 l '2 s i o 3(o 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 BEREQUIRED. 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 below, must provide topographical data on sury y. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, P1419V; TWA STATE OF NEWyojU4) ___ _ _3TA0 SS: COUNTY.. __.--- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D.BUNCH public,State of New York Notary (S)He is the a No 01BU6186060 Contractor Agent, Corporate Officer, etc. Qualified in ° lic Cu (. a E ' g p ) ires April 1 4,2 Commission Exp of said owner or owners,and i's„duly authorized to perform or have performed the said work and to make and file this application; that all statements contained iri,'this applicatigji are true to the best of his knowledge and belief; and that the work will be performed in the manner set:forth.jn;th;e;app6,lation filed therewith, i Sworn to before me tla 1b day of 20 Z Notary Public Signature of Ap ant O��OF SOUryOI Town Hall Annex ~ O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �yCDUNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD April 5, 2012 Penelope Winters PO Box 335 Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4w84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 36775 — 12 x 12 Shed o�*pF SO!/j�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 97 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 7, 2012 Robert Bohn PO Box 876 Southold, NY 11971 Re: Winters, 6790 Hortons Lane, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. Enclosed PP (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 36775 — 12 x 12 Shed r F rl, —' OF NE�y s I '• ct YJ.E�i�ECi _ QVEQT' N ysFo i� j//`,�yr�/{. yF (��grAM C.Iy f AND 1 .f i"V iA.4'�f,1 -YL/t ct v' 'j i=r- --_f: i \ i tJ a a. � =K " • �, � d... _ PAIZZ_iC{l�ii V `, •` _ - -t ..,°..,t t.." .Y.l y. `'ll' ; S >- '.i++ .,,q"ti 44 Ml jo v 2 t , V!S� ic.'4Y h $ 3r PR {.. t A. - .- •- - k_ - r�' � r,p .Yf4 r�Y�"1; y SC� ,}l. �. } } r -�: tL:J _ S F ILD i i t k 3 Unauthorized alter2tio'n additbn Y L � .' 3 to this survey,is a violati of-- - 1 t� t - Section 720$of the NeW.ork 5taM, " • i MAIN Education :; -•X15�,�..j — lt. ;. i � �r Copies of this survey, not beq k.. 3 1- the land surveyors in ed seal ar. ME.} kitf '� r � � - embossed seal shaA oot be consfduld „ v�u��" r � • '` ?� t i Wei! �_� A ` to be s valid tnia Copy. ! t 1 I " 'Guarantees'lndcated hereon sha/run only to the person for whom the survey .o- gy Woo Cps It pi to c �Ps i1 n ! �/ /r ,