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HomeMy WebLinkAbout26087-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27272 Date: 08/25/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 120 THE SHORT LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 30 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1999 pursuant to which Building Permit No. 26087-Z dated OCTOBER 27, 1999 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 STORAGE SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. The certificate is issued to RICHARD G MURTHA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 08/24/00 PLUMBERS CERTIFICATION DATED N/A - a",/ �&Z� Authorized Sig atii-re 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) PERMIT NO. 26087 Z Date OCTOBER 27, 1999 Permission is hereby granted to: RICHARD MURTHA PO BOX 41 E MARION,NY 11939 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. Q tl at premises located at THE SHORT LA EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 014, i(_ pursuant to application dated AUGUST 18 1999 and approved by the Building Inspector. Fee $ 35 . 00 Authoriftdd Signa re ORIGINAL Rev. 2/19/98 LVi1LL LYV U 7 7-k6 TOWN OF SOUTHOLD r•,; -'— BUILDING DEPARTMENT n TOWN HALLr 765-1802 8 H 11 L', i i APPLICATION FOR CERTIFICATE OF OCCI PANCY" T!.:.7+•3 MJF t3rNJ1";90t.J A. Thi's application must be filled in by typewriter OR ink and submitted to the buildin 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar buildi) 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 at 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 r 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date {,,�✓ Z/ . ./ .7,-,V 4 F. . . . . . . . . . . . . . . . New Construction. . . . Old Or Pre-existing B ilding. sn,`20 k/7-k., Location of Property..��. . .. . . �, • ��•'ew /{L- House No. Street Hamlet Onwer or Owners of Property.. . .. , , , • • , , , • , , , , , • • , County Tax Map No 1000, Section. .. . .. . . . . . . ..Block. . . . . . . . . . . . . . . .Lot. . . . . (. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . Permit No.0.6— Date Of Permit. . .. . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . .. . . .. .. . . . . . . .. . . . . .. .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . .. . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . .. . . . . . . . .. . . . . . .- (� ,, 3 . . .e. . . . . . . . . . . . . . . . . . . . v� �� 1 APPLICANT C 7 f I � � Ell 2 9 2000 i '1 IIS �- WIN- 3_ IN -- J h `4 - -- - —AQs .T,D_INSPECTION_REPORT DATE ------------------------=====COMMENTS ---___- I II [1 --- --------- H INDATION ( IST) ii --- --- --- ---- --------- _ __ar II l it TNDATION Ir-- At- - -- --- -. 11 jj JGR FRAME 5it It -- - PLUMBING -- I II II II SUDATION PER N. Y. ft x y II STATE ENERGY CODE _ t y II H ,I - ii /40" y 3 FINAL --------41 �I ryl O ADDITIONAL COMMENTS: I � z 40 � L od -- d ro 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARK DATE /f INSPECTO ` re.. 7 9 2E)00 t r' 1OLD f , 20 2a PA 124 v v c ► 120 P�+o+o (JU -�voc BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS .. .. .... .'. .. . . . TORN OF SOUTHOLD SURVEY . . . . . . . .. . . .. .. . .. . . . . . . BUILDING DEPARTMENT CHECK . .. . . . . .. ... . ... ... . . . . . . TORN HALL SEPTIC FORM . . ... .. . . . .... . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . A.11.. �..J.J. Examined. ............. 19 ..1 r�,� MAIL TO: . . . . . . . . . .. . . .. . . . . . Approved .. da .., 1991. Permit No. . v rt ^F.Q � ................................... Disapproved a/c .................................. ................................... ...................................................... t' (Building tor) LALro I819f ``,_''� �__._ ! APPLICATION FOR BUILDING PERMIT I31-M; DL,T Date. . . ... . . . . . . . . ... 19. . . . TC"',m r,r�fw-i;'ou) INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan stowing 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 application. c. The work covered by this application may not be comenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit sball 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 Occupmry shall have been granted by the Building Inspector. APPLICMUN IS HUM 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, Ordinanees'or Regulation;, 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 builoiag forsalt' inspect' OCCUPANCY OR .................. USE IS UNLAWFUL Signature of applicant, or name, if a corporation) WITHOUT CERTIFICATE OF OCCUPANCY (Mailing address of applicant) State wkether applicant is owner, lessee, agent, architect, engineer, general contractorl }�ap„ Rl r or builde w .Y.4....... .................................................DATE:. P . tU... I. WNT rDATE: B.P#Name of owner of premises ..9�414re . . .:.XY.I �S ........ ;..(as on the tax roll or latest deed) NOTIFY BUILDING DEPARIf applicant is a corporation, signature of duly authorized officer, fFO6-1B02 B NS TO 4 S: FOLLOWING INSPECTIONS: I FOUNDATION - TWO REQUIRED ......................................................... FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MIDST Builders License No. ......................... BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Plumbers License No. ..................•••••• THE REQUIREMENTS OF THE N.Y. Electricians License No. ..................... STATE CONSTRUCTION & ENERGY COD . .AOT' RESPONSIBLE FOR Other Trade's License No. DE CONSTRUCTION ERRORS 4` 1. Location of land on which overdo wt11 due done.................... ..... ................................... ........................... ..�5.. . 1 ... ............................... Nuar Street Hamlet/// Conty Tax Map No. 1000 Section ...::' ....... Block .... ......... Lot ..�Jl... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of •ses and intended use and occupancy of proposed construction: a. Existing use and occupancy ....�lC!. :r;�:.................. .. .is"A t b. Intended use and occupancy ... ............................, ...................... 3. Mature of work (check wlnidF an pliceble): New Building .......... Addition.......... Alteration .......... Repair ............ Removal ......I....... Demolition ............ Other Work ................................... . Lf b©........I (Description) 4. Estimated Cost . I...... fee .............................................. (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 ......VA ems....................... i. If business, commercial or mixed 7cupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structuress if any, Front................ Rear ............... Depth ................. height ......................... Number of Stories ...................... Dimensions of am* structure with alterations or additions: Front ............... Rear ............... Depth .................... NeighC .................... Nudner of Stories ........ i. Dimensions of entire new construction: Front �7 r / r �.f .. Rear .:�.. ......... Depth ..Z�....... Height ./.�..................... amber of Stories ....Z............ ). Size of lot: Front .............' pear .................... Depth ...I................ 10. Date of Purchase ................1.... Name of Former Owner .......................... i• .�• II. Zone or use district in which prem sea are a tuated ...,........................................................... 12. Does proposed construction violat any zoning law, ordinance or regulation: ........r............... 13. Will lot be regraded ............i....... Will excess fill be removed from premises: YES M 14. Names of Owner of premises ...... .................... Address ........ Phone No. ...................... .............. Name of Architect ............. ..!..................... Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal Wetland? * YES .......... NO .......... *IF YES, SOUTHOLD TOWN TlQ1Sll RS PSt M MAY M R1�IARED. PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and indicate all set-back dimensions iom property linea. Give street and block number or description according to deed, and stow street names and indicate +nether interior or corner lot. II 'CAlt OP"Ni'-11A3Qi*T �ixaSTA11➢!,l(14 "Y.iD.l o")Cil"U04"m Or 'L).#ri•&F KIAM� ilv'3U69 \ :crF rf. u. �6....... ....•.......beirg duly sworn, deposes and says that he is the applicant Nene of indiviflldl" w '0j e is Lhe rc;il4).7 ho.Y' fJ�GC/ .............. ..................................................... ((pnitrggtoc„aggn�t rporate officer, etc.) I said owner or owners, and is duly aithorized to perform or have performed the said work and to hake and file this pplication; that all statements costaned in this application are true to the best of his knowledge and belief.; and hat the work will be performed in the�'Tamner set forth in the application filed therewith. worn// to before me this //�� ....day of .lcG � :...il.....19.�.� .. Notary Public ..4 / •,?4 .4.J..... . .................................... ignvrture of Applicant) LINDA J COOPER Notary Publb;State of New York No.4822668.Suffolk Con Term Expires Decembbr 31, ©© I IIIIIIIIIIIVIIIIRIUUTA!I.. . . I, ,.1.d= d. .,},-�;,+.ntmia�.:..o.,•v.. ,e•tii!/N±%Vit ,... „ ., ,,,,,. N xSW,tµw'•hw:¢,a.;N y.�:r w�aB;ta3:u.;,. �;.Y, . . ...,,,...,I,,, .rm;;•r�rrea'vv/.xreAi4R TITLE N0. 77-S - 76726 THE LOCATION q WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AXW OR FROM DATA OBTAINED FROM OTHERS q THE WATER 'bUPPLY AND SEWAGE DISPOSAL SYSTEMS IVOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS Of THE SUFFOLK COUNTY DEPARTMENT Of HEALTH SERVICES APPLICANT:---J— —_----.—.—.---- ADDRUS----'—^------- TEL.---- I \ , \ Lot 12 Lot r Lot /3 \ VACANT N.83°2745"F 77.73' u,gs.s x �~ xel>3'�•1� t -4. m V1 W n o m N z o U1 N , N it N o m � r O Z ,kw y1.4' 6 M 4 VD°�K M IS S-r--4 "',;A 1 p N°USE; ? _ 1 uI 515 �„ 1 4 �NN VIR w $.76°5708 .I L 56 73' ,.. N i� cnssveo d BI1 gR® W- �I SAS VALY I`g8A VAL 7723 WATER � � I I� ' 5.76`57p8- MAIN I g" i^LATER ` eI>3t•5 S ��- HoRT t-ANE e�.3g o rHE NOr£+ , ■ =MONUMENT REVISIONS -Gx STAKE YOUNG & YOUNG S118D/V/S/ON MAP FILE 1N THE OFFICE OF THE CLERK OF 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SUFFOLK COUNTY ON ✓UNE //,/975 AS FILE NO.6266. pLDEN W. YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC, NO. 12845 N.Y.S. LIC, NO. 45893 tP�E of "Ftv SURVEY FOR: S h° UTHIS NAUTHORIZED ALTERATION OR ON F SECTION TO WILLIAM /.MURTHA B N/COLENA MURTHA V`P�D w y ?'f' 7209 OF IS A I THE NEW YORK STATE EDUCATION z° °a LAW B V/NCETTA D/FALCO COPIES OF THIS SURVEY MAP NOT BEARING LOT NO. lO "PEBBLE BEACH FARMS" THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Tc RE A VALID TRUE COPY AT GUARANTEED TO: EAST MARION Eou1rYABsmAcr/Nc. �0 45893 GUARANTEES WOICATEO HEREON SHALL RUN SOUrHOLD SAVINGS BANK Frys ONLY To THE NEARED: EER HI.I THE TOWN of S,,kVCl 15 PREPARED, HIS SOUTHOLO WILLIAM✓,&NICOLENAMURTNA 8 L�IAND S0.0 TCTH2 TiTLE COUPANYrvoN 0VFRNVE,rnF � VINCETTA DIFALCO AGENCY AND LENOM@ NSFT ui�ON l ,Il BY - IlEaeoN, AND TD THE AsslGVErs Cl ,E SUFFOLK CO., N.Y. BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: Architect/ Date /� Engineer: Submitted: _ / SCTM #: District: 1,000 Section: Block: Lot: /_ - _ Project 9� � ��/yZW�Gv� Subdivision Location: / .�'� 'Y "' ��'C Name: Single&separate Required certification: (Yes/NO) Req COO ;49 53 7Req 2O Zoning District: /" [Lot size: Actual .1 1 [Lot coverage Proposed:_ 1 Req. Req. Req [Front Yard Proposed: ) [Side Yard Proposed: 1 [Rear Yard Proposed: ] Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Pla*M Elevation ??? Flood Zone: to •