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Home My WebLink About10504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-2036B Date MOlrEMBER 21~ 1991 THIS CERTIFIES that the building. ACCESSORY Location of Property PRIVATE ROAD OFF EQUESTRIAN AVE. House No. Street County Tax Map No. 1000 Section 9 Block 9 Subdivision Filed Map No. F%SHERS ISLAND Hamlet Lot 22 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1979 pursuant to which Building Permit No. I0504-Z dated DECEMBER 4~ 1979 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 GARAGE AS APPLIED FOR. The certificate is issued to FRANCES B. RAUCH & R. STEWART RAUCH~ JR. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ]Building Inspector (THIS PERMI,T MUST COMPLETIO~I OF THE Permission is hereby granted to: F~,~/~/'/C 5' ~ ~q.....,4/,~.~.!.~....~.&.~.~.,....g,~.~:~.?~z~....~.~.4;Y~?/~ 7/~/, at premises located at ................................ ~.:/~,./,.~..,/J.~-~..,J......*.'/ ............ -.~,,...~../',.~....'.~,,. - .......................... pu~u~nt to *~lic~tion d*~ed .................................... :~..:.Sr,.~...,. 19.. 4, ond; opproved by the ~u.~,n~ ,ns~ec.or._ , , , Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new buzlding or new use: 1. Final survey of property with accurate location of ali 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. 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 znspect signed by the applicant. If a Certificate of Occupancy is den~ed, 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00 Date .............................. ... .. · . . New Construction...........~ Old Or Pre-existing Building ................. Location of Property ...... ~r;~a_ ~o~ O~ ~-~.'Sa~lJ~l'l..% ;~l~e,,~,;~ ~'t~r~ g~ House No. Street Hamlet Onwer or Owners of Property .... Cf~. . County Tax Map No i000, Section ..... ~ ........ Block....~. ........... Lot....~:~_ ... "ubd ivision '~ ................. Filed M Lot Fermit No.I0~ ~-- .Date Of ...... -erin t qealth Dept. Approval ............ Underwriters Approval 21.moing Board Approval Submitted: $... ~ Fee ......... ' , iVfAT TItE ~?' S & ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON, N.Y. I~968 November 12, 1991 Mr. Victor Lessard Building Inspector Town of Southold Town Hall Main Road Southold, NY 11971 Re: Certificate of Occupancy for Garage for Frances B. Rauch and R. Stewart Rauch, Jr. Dear Mr. Lessard: On behalf of the referenced owners of premises at Fishers Island (SCTM # 1000-9-9-22), I am submitting herewith an Application for Certificate of Occupancy, map showing the property and a check for the $25.00 fee. Please make any necessary inspections and advise me if any further information or documentation is required. Please note that the garage does not have electricity so no Underwriters approval is necessary. I would appreciate it if, after the CO is issued, you would forward the original to this office. Very truly yours, Stephen L. Ham, III SLH: j a Enclosures NOV Approved ................ ,19... Permit No .... ~. ....... FORM NO. 1 TEL.: 765-1803 / r , / ~ A~I~O~ .... .~% .' ...... Disapproved a/c ..... '..~. · · .~.._. ...................... ........................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .N. qv.~m, be~: .6 ~ .......197.9.. ~, , ~* - ~ ' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector;"~'ith 3 sets of plans, accurate plot plhh to scale. Fee according to scheddle. ~ . b. Plot plan showhag 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 issue 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 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. ,~,...J.q .H.H..G.A,.qA .~I'ti~KAI~ .OIN"I:RAC'rlNG,..IlqC ........ (Signature of applicant, or name, if a corporation) .lSI,~lII, .NE~ .YORK .06390 ............... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... qene"te4 .Oont~ctot .................................................................... Name of owner of premises . .~.ltqtlq~S .I1...Ranch ...................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate off, i'cer) Builder's License No..281 .-..HI ................ Plumber's License No. 662 .-..1~ ................. Electrician's License No. 296 .-..g ............... Other Trade's License No ...................... 1 Location of land on which proposed work will be done. Meet .end .o~ .lal~and ............................ .......................... ~quaat:r.~m Awl ..................................................... House Number Street Hamlet County Ta ap No. 1000 Section ........... ..... Block ...... 7. ......... Lot... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................... one car garage (new structure) b. Intended use and occupancy ................................................ , ................... 3. Nature of work (check which applicable): New Building ... K.· ·... Addition .......... Alteration .......... Repair .............. m ' . ........................... Re oval ...... Demolition ..... Other Work.. (Description) r i (to be paid on filing this application) 5.~ Iil dwe nc, number of dwelhn nits ............... Number of dwelling units on each floor ................ Ii garage, number of cars ..... 'p~a~ ................................................................ 6. If busirtess, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions ofexist~ng structures, if any. Front... Rear .. Depth Height ............... Number of Stories ........................................................ DimenSions of same structure wiih alterations or additions: Front ................. Rear .................. Depth; .................. ... Height ...................... Number of Stories ...................... 8. Dimen ons of entire new const ction: Front ... llJ.' ......... Rear .... 118! ........ Depth 2/0 .......... Height! .... .1.g! ........ Number of Stories 1 ...................................... 9. S~ze o or: Front .... P .... P ............. Rear ...................... Depth ..................... 10· Date of Purchase ........... i .................. Name of Former Owner .8p~..u.~.l..Sp.lyp8p ............... 11. Zone o~ use districQn which premises are situated....R.~.~.t.d.~.n.t~.~.l ......... ~ ............................. 12: Does ptop6sbc/&n~tmction violhte any zoning law, ordinance or regulation: .. J* ............................. 13. Will lot: be regraded ... YP.~... i ................... Will excess fill be removed from premises: X Yes No Of A chite None! Add Name r ct .......... , ................. ress ................... Phone No ................ Name of Contractor &,..JPIm..Gt~tI~ .............. Address [~,~b~:r~. ISlalad~. It,~t~hone No. 788.-7111 ....... PLOT DIAGRAM Locate clearly and distinctly all lbuildings, whether existing or proposed, and, indicate all set-back dimensions from li~es. Give street and block: umber or description according to deed, and show street names and indicate whether property interior or::prner lot. STATE OFINEW~YORK., '~ S COUNTY 9F. I (Name of individual sighing contract) above named. being duly sworn, deposes and says that he is the applicant .t.~ Contractor He is ut~ , ,I ................... ~, , .~ .. . ,, , (Contractor, agent,'c'orpo/'ate officet-, etc.) I of said owner or owners, and is du~y 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 b~ performed in the mann4r set forth in the application filed therewith· Sworn to before me this ........ ~ ................ day o ....... ,, ., . · . ..~... unty ' NO[AllY pllBLIO, SLATE ~ NO §2-82§?950 -- SUFFOLK C~UNT¥ (8i~l~ature of applicant) COMMISSION EXP RL$ MARCH 39, 1~ // ,/ /- \ (4) DRY WELL CROSS SECTION NOT TO SCALE 8" DIA KNOCKOUTS F[NISH£D GRADE OUTLET I h~r~b~ c~rtl~ ~hm~ ~hl~ maD ~¢~ mmd~ from and m~num~n~ ar~ ~ a~ ~h~n. "A d~cl~ro~lon o~ ~ov~n~n~s ~nd r~,~rl~rons ~ctln~ ~h~ Io~ Tn ~h~ ~ubdlvlslon ~s I om familiar w;th the standards for approval and construction of subsurface sewage disposal systems for single family residence and will obde by the conditions set forth therein and on the permit f: construct. APPLICANT REVISIONS CATE DESCRIPTION 80CT'91 ~D~D BU1LDINB LINES ICATE: JANUARY 15, 1991 SCALE: 1" = 40' SHEET 1 OF 1 PLAN 5TEAA T ,AIJDH, t=lDHEI~,5 15,LAN~, NEI, N