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Home My WebLink About26820-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27344 Date: 10/10/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 580 SOUNDVIEW AVE WEST (~OUSE NO.) (STREET) County Tax Map No. 473889 Section 74 Block 2 Subdivision Filed Map No. __ PECONIC (HAMLET) Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 2000 pursuant to which Building Permit No. 26820-Z dated OCTOBER 4, 2000 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 10' X 12' ACCESSORY STORAGE SHED AS APPLIED FOR "AS BUILT". ·"ne certificate is issued to LONNIE B SOURY of the aforesaid building. ( OWNER ) SUFFOLK COUNTY DEPARTMENT OF t{F~kLTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~£~;D N/a N/A Rev. 1/81 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) PEI~MIT NO. 26820 Z Date OCTOBER 4, 2000 Permission is hereby granted to: LONNIE B SOUR¥ 301 WEST 108TH ST NEW YORK~NY 10025 for : CONSTRUCTION OF 10'X12' ACCESSORY STORAGE SHED AS APPLIED FOR "AS BUILT". at premises located at 580 County Tax Map No. 473889 Section 074 pursuant to application dated AUGUST Building Inspector. SOUNDVIEW AVE WEST PECONIC Block 0002 Lot NO. 006 11, 2000 and approved by the Fee $ 35.00 ~~d Signature Rev. 2/19/98 ORIGINAL ~orm ~o. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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. Approval of electrical installation from Board o~ 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 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25x~ 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 Building...~.~.~-~...~%~.. Location of Prope~y... ~7~.O ~O~..~.~exD~ ~_ / House No. Street Hamlet ...................................... Onwer or Owners of Property .... ~ ~ ........... County Tax Map No 1000, Section...~..~. ...... ..... Lot..D~.~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No~.~.~.0.~ .... Date Of Permit~./.~JP.~. ....... Applicant .... ~.O.~..~..~..~...O~..~ ....... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $.;.~ .................. i ~~ ..................... UNDAT I ON ( IST) UNDAT ION ( 2ND ) [I [[ 1( ff ~ .- SULATION PER N. Y. STATE ENERGY CODE II Ii I[ II il.. II II [I II II Il II FINAL ADDITIONAL COMMENTS T 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O, ^,~,~ ~O~SYRUCT, ON s.^,L MEET -'r~-,~ P.~ou,r-JEMENTS OF THE N.Y. '""- ODE,~, NOT RESPONSIBLE FOR DES!GN OR CONSTRUCTION ERRORS // FORM NO. ~. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ]]971 TEL: 765-1802 ~i~...:VL: ......... , ~0..~.. ........ , Disapproved ale .................................. (Building Inspector) BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ...... ~URVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTEES ...................... CALL ...... MAIL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ , 20 .... a. 'Ibis application ntmt be canpletely filled in by typewriter or in ink and submitted to the Building Inspector w: 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatiofl of lot amd of buildings on premises, relationship to adjoining pr~nises or public streets or areas, and giving a detailed description of layout of property ntmt be drawn on the diagr~ which is part of this application. c. 'lhe ~rk covered by this application may not be cc~nenced before issuance of l~ilding Permit. d. Ulx~ approval of this application, the I~ilding Inspector will issue a lkdlding Pemlt to the applicant. pemit shall be kept on the premises available for inspection throughout the ~rk. e. No building shall be occupied or used in ~hole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICA'FIC[q IS l~RErff bihl~ to the Building Departnmnt for the issuance of a Building Pemnit pursuant to the $ l~ilding Zone Ordimance of the To~n of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulhtions, for tim co~t~actioo of. buildings, ~dditions or alterations, or for removal Or den~lition, as herein described. Bm applicant agrees to comply with. all applicable laws, ordinances, building code, housing code, and regulations, ~1 to admit authorized inspectors ou premises and in buildinj~ for .necessar~'nspeetions. (Signature of.-~'~pplicant, op/~naue, if a corporation) State wtmther applicant is owner,' lessee, agent, architect, engineer, general contractor, electrician, pltmber or beilde ... D.¢...~.6(. ......... . ....... l Nave of owner of premises . .-~0. JO~.! ........ ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autl~rized officer. (Ne~neand title of corporate officer) l~)ilders License No .......................... Plumbers License No .......................... Electricians License No ...................... other Trade's License No ..................... 1. Location of land on which proposed work will be dene...__...P...J....~....(~ .Q..-- ........................... .......... .6.. f.D ...................... ....... ......... .... ~ hk~ber ~0 Street ~l)t/nl~Uleo3 6ounM TaxMap No. 1000 Section .:].~. .......... Block .~..~-~.. ...... Lot .~r..~. ........... Subdivision ...................................... Fired l~ap No ................ l~t ............... State existing use and occupancy of pr~nises and intend,nd use and occupancy of p,rop~. ,sgd .c~,s~ction: a. F~xistlng use an~ occupancy ........... '-.---~...'.$;~.;-.~.~o ............... .q.,,¢[~.~t-!. ~ ...... ~..,.~...; .......... ~,. Inte~ ~ aad occupa~ ................ tC:5..P~.~, i'.'.....:r ....... [~;~ture of uork (d~wAc MJid~ apglicable): New Ii;il(ling.. ~ ........ &~ition ' Alteration .......... l~ir ............ ~al ............. l~lition ............ Other ~ . ~.~.~ ........................ ~ripti~) ~i,,~, ~. d~.~ ~ 0...~ ....... ~ .............................................. '~ (to ~ ~id ~ filid~ this a~licati~) If &~llin8, ~{~r of ~lli~ units ............ l~fl~r of ~k~lllng Imlts on ead{ fl~r ................ If garase, t~i~r of cars ...................................... If lmir~ss, ~rclal or ~ ~m~, s~ci~ ~ture ~ ~tent of ead~ ~ of u~ ...................... I)i~nsi~s of ~isting st~res, if a~: ~t ................ ~ar ............... ~pth ................. l~i~{t ......................... ~r of Stories ...................... Di~nsi~s of ~m st~re with alterati~s or ~itlons: ~ont ............... ~ar ............... ~pth .................... }bi,it .................... K~i~r of Stories ............... Di,~nsi~m of entire ~ c~st~tJm; 1~ ................ ~ar ............... ~pfl~ .............. l~i~t ......................... ~t~r o~ Stories ..................... ............ ..J .... .......... ..... .......................... z~ or u~ district in ~i~ pr~i~s are ~t~ .............................................................. ~s pro~ ~s~ti~ violaLe any ~ing 1~, o~i~e or regulaLi~:., ~ ................. Will lot ~ r~ .............. .. ..... Will ~ess fill ~ r~ f~ ~i~s: ~ of Ardfit~t .................................... ~ress .............................. ~ ~ .............. ~ of Cmtractor ................................... ~klress ............................... '~ ~ .............. Is tiffs p~rty ~ithin ~ f~t of a ti~t ~tl~ * W$ .......... PI,OT DIAGRAM I.~cate clearly m~d distlr~tly all buildings, ~mther existing or proposed, and indicate all set-I~ck dimensions x0m property lines. Give street and block mmber or description according to deed, and ~Jx~ street mn,~s and indicate mtlmr interior or corner lot. ~'~ne of individual s[gnltlg contract) Con ,sT',,- u c;g'Lo~; duly s~om, deposes and .says that he is the applicant (Cxmtractor, agent, corporate officer, etc.) ' said ore,er or ~me. rs, and is duly authori~m~d to perform or have perforn~d the said ux~rk and to tmke and file this qflicatlon; that all. stat~r~nts contained in this aN)licatlon are tree to the [>est of his knowledge and lml. lef~ ,at the ~x)rk will be perfonned in the man~er ~t forth in the application filed therewith. ~orn to I~fg~e ,~_ this ~ ~ta~ ~llc ~. ~..~. L~DA M. BOHN NOTARY PUBLIC, State of New Yo~ No. 01 BO6020932 Quatified tn Suffo k Coun~ Term Exp res March 8, 20 ~