Loading...
HomeMy WebLinkAbout26637-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27555 Date: 02/12/01 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: ROW OFF PENINSULA RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 4 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 2000 pursuant to which Building Permit No. 26637-Z dated JULY 6, 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 ACCESSORY 11' X 1416 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to HARRIET J MCNAMARA & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A C ut rized ignature Rev. 1/81 DT Co� 11 II 1 / �acDIJLTE ]�ISd1JGCJ .Jy=L I-.CEA�'su rr�n F� U.5 Trc,y.J C�(.11_.,.(_TIOL/ pfd-T ALJ 1�(GCy�j•• Q I Lo— SEUL w/F. Bim.'ca B�I�nIJ� N om In /ae, 8y Ci-IL+GL.E=� f..l / s � c Sa FE�r To Tiy�=�Grl 84 �s IIS o SET \ 75 OO AF-E � ro' P.� F KE S-ovJE GUcATivNCS ✓ Yeo HE2$EZr rl . 1 I�Grc��l 1 ` � l-�C_Lrs'.�l F-C- •�-a-I r_.C_,rr.�t-1 FI---3I-��CrC.S o la o PEOFNeiv o 5 ��Po Fi. Sr9oLy� P � : 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) PERMIT NO. 26637 Z Date JULY 61 2000 Permission is hereby granted to: HARRIET J MCNAMARA 20 KALMIA STREET EAST NORTHPORT,NY 11731 for DEMOLITION OF EXISTING SHED & CONSTRUCTION OF SHED AS APPLIED FOR. at premises located at ROW OFF PENINSULA RD FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0004 Lot No. 012 . 003 pursuant to application dated JUNE 8, 2000 and approved by the Building Inspector. Fee $ 35 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 �c � ' roan ivo, b WC TOWN OF SOUTHOLD BUILDING DEPARTMENT JAAI g TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 11pre-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 Building - $100.00 3. Copy of Certificate of Occupancy - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15.00, Commercial $15.00 Date . `���® . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existi//n+ Building ./. �. . �� �'.�`� Location of Property. . . . . . . . . . . . . . . 6GJ e7, . . PG'1J1/ UL u.:S,vG'.is House No. Street Hamlet Onwer or Owners of property.✓. d J4s. . . (/. 1N��2E N J /�(Z/LI C�. .� County Tax Map No 1000, Section.S✓I Y. . . . . .BlockO® . ./. . . . .Lot©49:.©C�•�• • • • • • Subdivision. . . . . . . . . . . .. . . . . . . . . . . . . . . . . .... . . . . .Filed Map. . . . . . . . . . . . iLot. . . . . . . . . . . . . . . . . . . . el Permit No ��;?2. .Date Of Permits P. / 6. ab A0 licantAM/1 f eT. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . x Request for: Temporary Certificate. . . . . . . . . . . Final Certica . ./. . . . . . . . �. C7 C7 Fee Submitted: $ . . . . . . . . . . . . . . . . . . . . . . . � L . . . . . . . . . . . . . qG APPLIC. . . Ld e A?5-5 01/19/2861 18: 09 631-1885519 ROBERT E WALL PAGE 01 lef � � ra,1� BUILDING DIM I SPECTION rouND TION ISIr r. I ROUGH Pill C J FOUNCI `l ZND [ I INtULATio" L 1 F"MI G w9' +NAL �...... F i DATt �� 111�iRER i 1 BOARD OF HEALTH . FORM NO. 1 >o3 SETS OF PLANS Pr:cv.�t .A5 . . . . . . TOWN OF SOUTHOLD O SURVEY �``�:*^Q^�:��. 5�? . . . . BUILDING DEPARTMENT CHECK ' . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 _ TEL, 765-1802 NOTIFY: N4�RenC CALL tQ3� -fe g _x373 3U.., z4�C? MAIL, TO: �'cl ? (✓Oi4�l/ Examined.. j 7 7 Approved. ��. ...... POW.. Permit No. .. !/;.0. 5 Disapproved a/c .................................. ..... ....... . .. . . ... ... . . . (Building Inspector) APPLICATION FOR BUILDING PEFc2iI'P JUN A Date`!/(Q . . . . . . . . . . . 200 �-- = INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the hkiilding Inspecto 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 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 trill issue a Building Permit to the applicant. Su permit shall be.kept on thepremises 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 Buildin� Inspector. APPLICATICN IS URROY MALE 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, Ordinaries 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 building f essary i IS . . . . ... . . . ... (Signature of applicant, name, if a corporation Fq7 Ur74r1 14?0 WeZ Vii-IP n/ Y ..................................... . .. .! (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plmnber or bui .S�rZ.................................................................... ...... ... . . . .. .. . . . . . . ... ..... Name of owner of premises ✓. ^t 9. F J NL E R SI.. ..... .. ... .. . . . . . . . . . . . . . . . . .. .. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (None and title of corporate officer) Builders License No. Plumbers License No. ......................... _ Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done.U•..:... L... N. 2 A3.r e5 Ca viur5 �h House Number Street%f}x Mq�r 473 "1 //Hamlet CCour Tax No. 1000 Section Block .......... ..... Lot ...(O. .. ounty Map .............. .. . 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 //..x.. .... ........��... ................ ....... . ...... . b. Intended use and occupancy /F... . /..y............ ���/'�..... . ..... ..... . . . . . . .. . .. . .. R 3. Nhture of work (check rimich applicable): New Building .......... Addition .... Alteration Repair . . . . . ... . . .. Removal ............. Dermlition ............ OtherWork , .93c-rl-D_ "e t_✓ - m a (Description) S 11�oce_o 4. fsCiurm[e(I Cost: �D�,C�.•........ ..... fee ....... .3"S........................ ......... . .... . (to be paid on filing this application) 5. if &rlIing, mr6er of dwelling units . ........... lkyrl)er of dwelling units on each floor ... . . . . ... If garage, rxni>er of cars ........ ... .................... ....... G. If business, mmrhercial or mixed occupancy, specify nature and extent of each type of use...... . .. . .. .......... Uimensiorms of existing �� �'/ Q tl 7. / g stnhctures, if any: Front...y.,(e..... Rear ..... . Depth lkiglIt .� (� . .C). ,(, , ,,,, ,,, Nurber of Stories �............../ // Dimensions of scare structure with alterations or additions: Front ��!.5�-,�„ Rear d Deptlm . .. . .. . . . . . .. . .. . ... ,eight ... ��.(�. . .. .... . ... .. .. •••.•... Number of Stories ..... .... .. r ,D 8. Dinmensmams of entire new construction: TYorhG ....t� . Rear .. ... ........ Depth Height . 0­ 0. . .......... Narber of Stories ......�............. 9. Size of lot: Frnnt .. .................. Rear .................... Depth 10. 11ate of Purchase ..... Nam of Former Owner ........... .. I )- Zone or use district in which premises are situated . .... ... .. .. ... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... 13. Will lot he regraded .. ..!IVO Will excess fill be reamed from premises: YES 14. Nares of Owner of prerrhises gess g9J UO,9/( /?, c= .......... fj. Phone No��. Hare of Architect . ... . ............................... Address 21 S2 N:rre of Contractor ................ Address ............................... No. . ......... .... 15. 'is this property within 300 feet of a tidal wetland? * YES IF YKS, SOLMYXD 7T)WN TROSTEE.S NO .......... PCRMI'T MAY BC, R1:Q[7IRED. PLOT DIAGRAM incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fmn property lines. Give street and block ember or description according to deed, and show street nacres and indicate A)ether interior or corner lot. PAIR Ol t`Es1J Y(w, SS .tt' j MR f A h{-C G A.114 being duly sworn, deposes aril says that be is the applicant R me of individual. signing contract) bove rune(], e is the .. . . 0.G{dbr.� . . . . . . . . . . . . (Cnitractor, agent, corporate officer, etc.) " f said (xwner or c; miners, and is (luly auLhorized to perform or have performed the said work and to make and file this pplicatiomm; that all staterents contained in this application are true to the best of his knowledge and belief; aOd hat the cork will he perfonre(1 in the manner set forth in LFe application filed therewith. worn to before nv ['his G. . . . . . .. .(lay of�/:J......... . ..120.0,L)., Notary Public �y \ W• ABLe (Signature of Appli ant) h10TAR?PUM13LIELSTA8T, E OF NLyNYdtiK No.01SA8731060 QUALIFIED IN NASSAU COUNTY COMMISSION EXPIRESJULY31,' 'n BUILDING PERMIT REVIEW CHECK LIST Applicant/ `' eGti Date Owners Name: Revicwcd: ),z9lC1 Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: Block: Lot: Project C �. ,, II ,^JI Subdivision Location: fr111 ^�"''"`� ISI��I Name: Single&separate Required certification: (Yes/No) Req. Req. Zoning District: [Lot size: Actual: ] [Lot coverage Proposed: ] Req. / / Req. Req. [Front Yard 3J Proposed: [Side Yard /62.5 Proposed: 1 [Rear Yard 3S/ Proposed: ] Project Description: &e /��` o� A-ni-2 thud . - � /'�•��,��_,�,,,,�� , s,�;g; AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. ✓ L.-- New /New York State D. E. C. Town Trustees Town Zoning Board approval. f Town Planning Board approval: Flood Plane Elevation??? Flood Zone: N Notes: S 014 7'0 /- �( �O �� c•rs�/ � .t ..e.k/ C- s" yr y a.s•O 1taor e- /J e-,9*Ar cam► 0 SCS 77—C .1//4M 15 6P4 a c/[ /°c0 �liYlzcs-� ",fZe /fAD ��e-, O.$fie -� s