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Home My WebLink About46342-Z SuFFOt Town of Southold 6/16/2021 a L P.O.Box 1179 0 W - 53095 Main Rd �jp r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42091 Date: 6/16/2021 THIS CERTIFIES that the building FARM BUILDING Location of Property: 16505 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-2-2.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/16/1974 pursuant to which Building Permit No. 46342 dated 6/3/2021 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: accessory farm building as applied for. The certificate is issued to Ruland W Revoc Trt of the aforesaid building: SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Ori rignature �s�FF Qi TOWN OF SOUTHOLD Hyl BUILDING DEPARTMENT TOWN CLERK'S OFFICE • o�� r SOUTHOLD, NY 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#: 46342 Date: 6/3/2021 Permission is hereby granted to: Ruland W Revoc Trt 50 Mill Ln PO BOX 164 Mattituck, NY 11952 To: construct farm accessory building in rear yard. Replaces BP 7118. At premises located at: 16505 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 115.-2-2.3 Pursuant to application dated 3/16/1974 and approved by the Building Inspector. To expire on 12/3/2022. Fees: PERMIT RENEWAL $7.50 CO-NEW DWELLING $50.00 Total: $57.50 Buil ing eetor FORINT NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTH-OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7118 Z Date . . ............ .. 19.Z'/ Permission is hereby granted to: -1z ... .. .Y...... ........ .....� �.. ....... .- ...................................... ........... .... at premises locatedat .� .... �?�1.,/.>•• ,u'�i= ..................................... �?.i�%" .!. -�r.,, ............................................................................. ........................................................................................................................._../.................................... pursuant to application dated —� �:.. .•...o. ..... .. 19/..: .:, and approved by the Building Inspector. Fee $1r. ............ i .. ......................... . ............... ............ Building Inspector FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y ------------------------------------ FOUNDATION(2ND) COD O ® y ROUGH FRAMING& �� a PLUMBING '� r O INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 0 X �l Z 'x y t7 lsJ y l J FORK NO. 1 TOWN OF SOUTHOLD bUILD\ING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .............�....... ........ 7 Examined v' ..`" 19.. Application No. ...f...�. .................. r • Approved ........................................, 191.7 Permit No. .1../Z........:.............. Disapproveda/c ..................................... ... ................................. ................ ................................................................. ......................... ...... ................... 1:7 ( u i I ng Inspector) APPLICATION FOR BUILDING PERMIT `Date .A)90 h......i$............ .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. '�b: ' Plot plan-showing locatioh 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 application. 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 o'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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. �11....... :...... ... ...... ....... (Signature of applicant, or name, if a c rporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 4??��:�`.'.................................................................................................................... ............................ .................. Q Name of owner of premises ....W.�.l.�!�!!�.....1 e.. � �1�............................................................................................... If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No. .........:.::..:."::.:............................... Plumbers License No. ................................................ Electricians License No. ............................................ ----_------------- OtherTrade's License No. .............................................. 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................ Street and Number �{a..... ;. .i?1�.II..�C�11e..J........I��J.ITCl v !i....o�� .y1..................... ......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...J1.75af..n .).......................................................... ............................................... b. Intended use and occupancy ...F. r? .......n),A—cllnel.....5-6-f c.................................................... 3. Nature of work (check which applicable): New Building ...�..... Addition .................. Alteration .................. Repair ................ Removal .................. Demolition.................... Other Work ........................................ ....... .... _ (Description) 4. Estimated Cost ...�.��0...............................Fee ... C�.................................................................... (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 of existing structures, if any: Front .....::7�.......... Rear .................... ......... Depth .................... Height .. ......... Number of Stories .........::...................................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ...............7777 ......... Height--;77:77:7=.......... Number of Stories ............... .............. 8. Dimensions of entire new construction: Front ...�6.......................... Rear ......Y..6)................ Depth ...6.6.............. Height .1 .1. i! Number of Stories ..1.....................................I........................................................................... � � I 9. Size of lot: Front ....... 3 ........... ++oR. 3....................... Rear 777J.......................... Depth ...�. �... .......... 7 10. Date of Purchase J. ..B.�( J.,.....t'. lc_A.. ..........Name of Former Owner F/ma3::...D....:RV bvn.I'Tl:,. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance 'or regulation: A1.0............................................... 13. Will lot be regraded, _1_0.0............... Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises ......R.fS,UPCIJ...... Address Phone No. Name of Architect ....(Wxv�............................................. Address ................................ Phone No. ...................... ®w t cc Name of Contractor ...7.::i..............q�..�............................. Address ...�??''1:!f;............... Phone No. .:�7&5'1C....... _ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions from property lines. Give street and block number or description acc rding to deed, and show street names and indicate whether interior or corner lot. ��% �('�vp V) f V I I � I bur I49, r I I aid 4 STATE OF NEW AY •' t COUNTY OF .. 7777 ........ .................................................................................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract') above named. Heis 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 than the work will be performed in the manner set forth in the application filed therewith. Sworn to b fome this /J�j .......� /�:�>✓ ay of , . . !/.!.4. Lam°` 1 .. Notary Publi f . �. ...... ..G.... ...i unty .. 9'J ...�.. ... . ... .. . . . ..... . JUDITH T. BOKEN (Signature of applicant) , Notary Public, State of Now Y6rk No.52-0344963 Suffolk Coun Commission Expires March 30, 191&