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Home My WebLink About13304-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Mall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23603 Date APRIL 20, 1995 ~IS CERTIFIES that the buildin~ 1375 ~HIRD ST~EET & Location of Property 400 ORCTL%RD STREET House NO. Street County Tax Map No. 1000 Section 117 Block 7 Subdivision Filed Map No. ACCESSORY BEW SUFFOLK NY Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~LY 16, 1984 pursuant to which Building Permit No. 13304-Z dated JULY 30, 1984 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 REPLACEMENT OF AN ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to LAUREN E. KINNIN of the aforesaid buildingt SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 TO~N OF SOUT~OLD BUILDING DEI~AF, TMENT TOWN HALl, SOUTHOLD, N. Y. BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13304 Z Permission is hereby granted to: ..... .....~.?..x......q...~ .............................................. __ ,o~~ ....................................... ~ ~ ~ ..-,,~....F...~,Z~.,,.....¢;~ ................ . · .~'~r~t~.'~"~"""."~-''-~ ......... ~' ...................................................... ~ ...... ;' .......................... T~'"~-"~I ~u. . ~'.'t ........... oO . ~o,.~ at premises located at ..J...~k.-L~........~....~......~ ..~.¢} ......... ,~f~lr/~.:....~.... ................. I/~J~ County Tax Map No. 1000 Section ...... 1_!-.'7. ......... Block ......... .~. .......... Lot No ........ /.~,.. ........ pursuant to application dated ....... ~.~...l.(dl~. ................... , 19.~.Y., and opproved by the Building Inspector. Feeel~,''~ Rev. 6/30/80 ~orm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT (~ . TOWN IL~LL /~765-1802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY 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. Approl~a~ of electrical installation from Board of Fire Underwriters. 4. Sworn Jtatement from plumber certifying that the solder used in system contains ±ess 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 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. ]. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of OccuEancy - Residential $15.00., Commercial $15.00 Date ..... ~ew Construction ........... Old Or Pre-existing Building....~.. .......... ~ocation of Property .... ~.~. ..... .~[~ ~.W~. ...... .~,~... ............. ~.a~..~j...~.~r~..!'~.~.~ ..... House No. Street Hamlet )nwer or Owners of Property.o.~r~-~ .... ~'...~'~f~t~ ................................... County Tax Map No i000, Section .............. Block ................ Lot ...................... )ubd~v~smon ........................... Fi] ed Nap Lot Permit No..~.~.~....Date Of Permit .............. Applicant ............................. {ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ lequest for: Temporary Certificate ........... Fiual Certicate ........... Submitted: APPLICANT, FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March22, 1995 Ms. Lauren Kinnin ITr~ ~ ,~-D~,~r% ~c~· P.O. Box 78 ~ -~ ~m~3 ',~ ~%~_~ ~ C~ New Suffolk, NY 11956 ~& ~k~ /d%~k~ ~u~ ~w~g[~,~-. Re: Accessory shed replacement ~m~ To Whom This May Concern: 'q'k'~ C~v-~-~','c~%~_.~.. L{~,~ ~,,, _~. ~P~'~ We are unable to complete your Certificate of Occupancy because of the following reasons: ;~, ~,~/F, xx An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. xx The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 13304-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March22, 1995 Ms. Lauren Kinnin P.O. Box 78 New Suffolk, NY 11956 Re: Accessory shed replacement 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 (outdated/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 # 13304-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~Jouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted--J~Jp![c;t=to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer respons b e for the building 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ................ New Building . .~...~.., ..,. Old or Pre-existing Building ............ Vacant Land ............. House No, Street Owner or Owners of Property .... 7 .............................. . .. . County Tax Map No. 1000 Section.,/J,?. ........ mock ....7. .........Lot ...... ..... Subdivision ................................. Filed Map No ........... Lot No. Permit No./. . Date of Permit . .Applicant .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Appr(ival ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ,~;...'~ .-77. ................... Construction on above described building and permit meets~~nd regulations. Applicant . ~ ......................................... Rev. 10-10-78 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..~ ~ .... , 19~.~.. Approved ~ .... , 197!. Permit No./..~..~.O..~..-~__.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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, ordinancg'4, building cod.e, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~]inspec~tiffn~/ y, , ' ~ .~. dq.:/.~.~...~w. .................. ~ (Signature of ~licant, or nam~ e, if a corporation) ......... (Mailing address of ~icant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. .... ~.~. ~ .~./. ~./. ....... .o.~.,, .o..v4~i .~. ......................................................... Name of owner of premises .....~.~..~.~q...~....~..'...ff..O./.C~?. 7~7.777~. ........................................ (as on the tax r011 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... $. ~. ] .~. ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. 'C,..6.~.:..-7:~. .... './3..~-~... ~ .c?..~?: .~?..~..&....g.7-~. ~.~ ..... ./M.~ .~...~,'~.~. e ~.~. ..................... House Number Street Hamlet County Tax Map No. 1000 Section ........ J.[7 ...... Block ....... ~ ......... Lot ) ~"J 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 .... .~.Z~.o ~..~.~.~-.....X'eq..~.-~. ........................................... b. Intended use and occupancy . ...~..770.~.~.4~... ~7 .ffL6-./~.~,~ ~~..i.~.. ~a~ ..... 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ' Addition Alteration Repair .............. Removal, ............ Demolition .... .......... Othe/r~Work ..~.-~.~../~...~. ~ ia'~ ...~ [0 ~ (,/~O.x~)t (Description) Estimated Cost ...... ~.~. ?..:. ......................... Fee .................................. ~ ~" (to be paid on filing this application) If dwelling number of dwelling units Number of dwelling units on each floor If garage number of cars ~ If business, commercial or mix6d occupancy, specify n~a/ture..and extent of each ty? of use ...... " Dimensions of existing structuies, if any Front .... ff.. .... '. ';... Rear .... .~ ........ Depth Height ............... Number of Stories ....................................................... Dimensions of same structure With alterations or additions: Front ................. Rear ................. Depth ' ] Height Number of St ri Dimensions of entire new construction: Front Rear Depth ............... Height ............... Number of Stories ........ ,,... > ................................... Saze of lot. Front ... )Y..~.... ............ Rear .... 7~. ............... Depth . ./..~./..w. ............. Date of Purchase .......... : ................... Name of Former Owner ............................. Zone or use district in .... whmh premmes are situated ..................................................... Does proposed construction vi61ate any zoning law, ordinance or regulation: . Will lot be regraded ........ .................... Will excess fill be removed from premises: Yes No Name: of Owner of premises ..: .................. Address ................... Phone No ................ Name of Architect i Address Phone No Name: of Contractor ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. 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 coruer lot. I STATE OF NE~ORK, ./ ,~ ~ COUNTY OF ~ ..... e of individual signing contract) above named, j He is the ............ : ~... ~ ............................................... (/[ / (Contractor, agent, corporate offlcer~ etc.) 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 be performed in the manner set'forth in the application filed th'erewith. Sworn to before me this ......... /.~..~ ..... day °ri .... 6/~(/'~);~')~'"''" .,19~.~... , IlO~l~"~'[t'~ Ya'~ C2 (Signature of applicant) ~VAid T,