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Home My WebLink About25716-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26440 Date: 05/~1/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 3150 VANSTON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 5 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1999 pursuant to which Building Permit No. 25716-Z dated MAY 11~ 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 REQUIRED REAR YARD "AS BUILT" AS APPLIED FOR. The certificate is issued to JOHN J.& MARGARET R. RASWEILER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /~i~ing Inspector Rev. 1/81 FORM NO. 3 TOWN OF SOUTNOLD 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. 25716 Z Date MAY 11~ 1999 Permission is hereby granted to: JOHN J.& MARGARET R. RASWEILER 15 FIRST PLACE GARDEN CITY,NY 11530 for : CONSTRUCTION OF ACCESSORY STORAGE SHED IN REQUIRED REAR YARD AS APPLIED "AS BUILT" at premises located at 3150 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. VANSTON RD CUTCHOGUE 111 Block 0005 Lot No. 008 3 1999 and approved by the Fee $ 35.00 rl~ed Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTM]SNT TOWN HALL 765-1802 FEB 71o33g ~i 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 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 %ompieted 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 $25100, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiping 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 - ~ -25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Uate .(£,f ~ U.~.~ .l~.~ .Z~77. ............ . .. . New Construction ........... Old Or Pre-existing Building ................. Location of Property...~]~.~..~' -- .VW.~.~Q~..~.~. ..... C.~H~.~.~. ....................... House No. Street Hamlet Onwer or Owners o~ ~ropert7 ........................................................ .. .. . .... county T,~ ~p ~o 1000, Section .... Z/I ...... Bloc~ ..... ~.. ........ Lot ..... ~. .............. Subdivision .................................... Filed Map ............ Lot ............... .... .. Pe~it ~o~8~.~6.=~:...~ate Of *e'emit~)Jl)g~ .... Applicant ............... Health Dept Approval ...... . Underwriters Approval. . .... Planning Board Approval ................... ..... Request for: Temporary Certificate ........... Final Certicate ........... Snbmitted.' ................... t ~O0~=: OuT-.~F_ i~OUGH-%uRI=~O-F--~ A,'a~ FkOOR: B~DG. DEPT. TO~,~ OF ~OUTHOLD t~ORM N0. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ] ]97 TEL: 765- 1802 Oi~ alt .................................. (Belial/nE Inspector) BOARD OF HEALTH .............. 3 SETS OF PLANS ............... SURVEY ........................ CBECR ......................... S~PTIC FORI4 ................... NOTIFY: CALL .................. MAIL TO: .................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 'Ibis application must be completely filled in by type~iter or in ink and sul~itted to ~he Building Insl~cto 3 sets of plans, ac~arate plot plan Co scale. Fee according to schedule. b. Plot pla~ showing locatiee of lot and of buildings an premises, relatioflship to adjoining pr~miscs or public st~eeta or areas, and giving a detailed description of layout of property m~st be drawn oa the diagram which is part , this application. c. The work covered by this application my ant be conmoced before issuance of Building Permit. , d. Ilp0n approval of this application, the Building Inspector will issue a building Permit to the applicant. ~_~ pemit shall be kept an the premises available for inspection throughout the ~ork. e. No building shall be o~mpied or used in ~hole or in part for amy purpose whatever antil a Certificate of Occupancy shall have been granted by mhe lkLilding Inspector. APPLICATICU IS I~s¥ ~ to the Building Department for the iasuance of a t~ilding Permit pursuant to the Building Z~e Ordinance of the To~ of Southold, Suffolk Co~qty, New York, and other applicable L~s, Ordinal_es or P~gulatio~, for the construction of buildings, additions or alterations, or for r~roval or ~tition, as herein de~crilx:d. Thc app!?.~..t agree~ te c~p!y with all applfcab!e la~s, ordinances, b_,;!ding ~de, l~,sln~ coc~, and regulations, and to admit anthorized inspectors on premises and in building for necessary iaspectiorm. ( gnature of applicant, or name, if a corporationl (Mailing address of applicant) State ~fnether applicant is csmer, lessee, agent, architect, engineer, g~neral contractor, electrician, phmber or .... .e.~.~.g. ........................................................................................................ m~ of o~ of ~ses .... ~??!~. ~. ~a.p ~.~.: ~g ~ ...~-~-.... ~...~ fig.a..~.-qT..~...~..~.?.¥~.,.~¢. ................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nme and title of co~tx~rate officer) Builders License No .......................... Pltmbers License Ilo .......................... Electricians License No ...................... Other Trade's License No ..................... I. Location of land on ~dnich proposed ~rk will be dome ............................................................ ........ .................... .a:.,k ................... House Number Street ~1 et County Taxl4aplXb. 1000 Section ..... I.I.I ......... Block .... ~ ......... Lot ..... .~. ......... Subdivision ...................................... Filed Map No ................ Lot ............... (Sam) 2. State existing use and occupancy of premises and intended use a. l~xisting use and occupancy .......................................... ~hbb9 '~I,}?'6?,W 0¢ bk:;Z~;~ ......... Repair ............ 1~,-~vat .... . .. ...... Be~litio~ ............ Other Work .~~~'. . . ......... :~T~ ~. 4. Estit~t~ ~st ' . ' . f~ ............................ j~ ....... }. . 5. If ~lli~, ~r of ~lli~ ~m~ts ............ ~r of ~lllmg ~its If ~r~e, ~r of ~rs ...................................... 6. If ~i~ss, ~ial or ~ ~, ~i~ ~e ~ ~t~t of e~ ~ of ~ ...................... 7. ~imnsi~s of ~ti~ 8r~mm~, ii ~: ~t ...... t.n- ....... ~ ..... ~r.- ...... ~pth ................. ~. si~ ~ ~, ~ ....... ~ ......... ~ ...... ~.~ ......... ~,~, ..... .~.~ .......... II. ~ or ~ district in ~i~ ~i~s ~ si~t~ ...~.~P2~ ........................................ 12. ~s ~ ~t~ti~ violate ~ ~i~ l~, o~i~ ~ ~lati~: .~.~..~. ~~ ~. Will lot ~ ~ ..... .~.q ........... Will ~ fill ~ ~ of ~mit~t .................................... ~ss .............................. ~ ~ ............ ~ of ~tr~tor ................................... ~ress ............................... ~ ~ ............ PLOT DIAGRAM ~ I~cate clearly and distinctly all b~ildings, ~hether existiug or proposed, and indicate all net--back dltmmions f-mm property lines. Give st~net and blnck nt~ber or descrlpti~a according to deed, and sho~ street u~res and indicate ~aether interior or corner lot. ~FA]EG~ ~YO~K, 3C~FYOF ....................... (N~e of individual slgnit~g c~tract) ·bove n-~ed, ~ is tbe ...... ~. .................................................................................. (~tr~tor, ~nt, co.rate officer, etc.) )f ~id ~r or ~rs, ~ is ~ly ~tl~ri~ to ~rfo~ or h~ ~rfo~ Om mid ~ ~ to ~ ~ file this ~llcati~; ~at all stat~nts ~ta[~ in ~is a~licati~ a~ t~ to ~ ~st of his ~1~ ~ ~llef~ ~ that ~e ~ will ~ ~rfo~ in the ~mr ~t forth in ~e a~li~ti~ fil~ t~. Applicant)