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HomeMy WebLinkAbout25724-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCy No: Z-26462 Date: 05/19/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 2705 LIGHT HOUSE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1999 pursuant to which Building Permit No. 25724-Z dated MAY 13~ 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 BUILDING (HORSE STALL) IN THE REQUIRED REAR YARD AS APPLIED FOR "AS BUILT". The certificate is issued to BARBARA FALCONI SUP~ERS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A - -Building~nspector 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. 25724 Z % Date MAY 13~ 1999 Permission is for : hereby granted to: BARBARA FALCONI SUMMERS 2705 LIGHTHOUSE RD SOUTHOLD~NY 11971 CONSTRUCTION OF AN ACCESSORY BUILDING (HORSE STALL) IN THE REQUIRED REAR YARD AREA AS APPLIED FOR "AS BUILT." 40 FT. SETBACK REQUIRED. at premises located at 2705 County Tax Map No. 473889 Section 050 pursuant to application dated MARCH Building Inspector. LIGHT HOUSE RD SOUTHOLD Block 0003 Lot No. 005 31 1999 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thfs application must be filled in by typewriter OR ink and submitted to the build inspector with the following: for new buiiding or new use: 1. Final survey of .property with accurate location of all buildings, property lin streets, and unusual natural or topographic features. 2. Final Approval from Mealth Dept. of water supply and sewerage-disposal(S-9 fob 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bull 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 '!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 an~ a consent to inspect sig~ed by the applic If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~t~,~ng pool $25.00, Accessory building $25.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buitdin~ - $i00.00 3. Copy of Certificate of Occupancy - = .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co.mmercial $15.00 ............ ........... Hew Oonst ction ........... Old Or Fre- isttng Building ....... Location of Property ...................................... House No. '~ Street ~m~]et Onwer or Ow:ers of ?roperty ....... ..- ................... ....... . ~ ........... ........ · · --- County Tax Map No 1000, Section .... .¥.0. ......~loek .... ~ .......... Lot ................ Subdivision .......................... . ...... .. . Filed Map ............ Lot ................ Permit No .............. ~ ~ ~.~ . Date Of Permit..~/./._.~./. .~.f...Applicant .~.~.~ .......... · Health Dept. Approvsl ........... ...~...~. ....... Underwriters Approval ....... ~, .f,l-~- ....... Planning Board Approval....~..~.. ........... .~ APPLICANT // 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ I IN/SULATION ~FINAL [ ] FIREPLACE & CHIMNEY DATE i NSPECT~*'~~ OUNDATION (2ND) ~.. IIqSPF. CT ~[ON REPORT DATE C(~IHENTS OUG"R FRAI'iE & PLUI'fEING iNSULATION PElt Il, STATE ENERGY CODE # FORHNO. TO~IN OF SOUTHOLD BUILDING DBPARTHENT TONNHALL SOUTHOLD, N.Y. I]97l TEL: 765-]802 Ol s,~t~ o,-ed a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL HAIL TO: ................... (Building Inspector) APPLICATION FOR BUILDING PERNIT INSTRUCTIONS a. This application m~st be eempletely filled in by type~'riter or in ink and su~itted Co the Building Inspector 3 ants of plans, ancuraCe plot plan ~o scale. Fee according to scbedule. b. Flor plan simwing location of lot and of buildings an premians, relatior~hip to adjoining premians or public streets or areas, and giving a detailed deanripti(m of layout of property rmst be dr~m on the diagram ~hich is part oi 5his application. c. The york covered by ~his applicatiofl may ant be cc~a~eeced before i~ o~ Building Permit. d. Upon approval of ~hls appllcation, the Building Inspector ~rill issue a Building Permit to the applicant. pe~nit shall be kept on the premians available for inspection thronghcot the ~ork. e. No buildlng shall be occupied or used in ~hole or in part for any purpose ~tmtever until a Certificate of APPLICATI(~I IS ~ ~ to the Building Depa~h~t for the issuance of a Building Pet~ait parsu~t co the Building Zone Ordinance of the To~ of Sout;hold, Suffolk Co~y~ ~ York~ and other applicable La~s, Ordinances or Regulatlc~s~ for the const-ructlofl of buildings, additions or alteraticr~, or for removal ~r de~oliticn~ as herein described. Ihe applicant agrees ~o cc~piy ~ri~h ail applicable la~, ordinances, building code, housing code, and regulatic~s~ and ~o ~,t~it authorized inspectors on premlans and in building for necessary inspections. ............ gnature of al~licant, or nam, if a ¢orporatim) ........... ~----/I- · · =----'~-- -=,- .¥-~-. ~; ~Z~--~- -~ · -~- ~'~ (l/ailing a&iress of applicant)/ State ~hether ~pllcant i le~, agent, architect, englaner, ganeral contractor, electrlelan, plun~er or bulh ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ ~ DEPAI~ENT/AT '~-1~ ~ AM TO 4 I~1 FOR THE title o[ corporate o [ ee=>OCCUPANCY OR USE IS UNLAWFUL Builders License No .......................... Pl r,No ............. CERTIFICAT£ Electricimls License No ......... OE-OCCUPANCY Other Trade's License No ..................... FOIADWII~ IN~FEClION$: I FOU~D~rK)N - TWO REQUIRED t ~~.~ ~ & PLUMBIN6 4. FINAL. CONS?RUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL M~., THE REQUIREMENTS OF THE 1. Location of la~d on ~hich proposed ~ork ~ill be ~ ~ O ~ L ~ + (~) 3. F~ture of ~ork (check ~hich applicable): ~ Building .......... /~clition ......... -r-- Alteratior~ .......... Repair ............ Pamaaval ............. Remalition ............ Other tlork ...~..... ~.....~.~c...~.. ........... .(l~eacription) ~ ~ 4. Estimated Cost ............ ; ............ fee .............................................. (to be paid on filing this application) 5. If daelling, nmt~r of Oaelling ~mits ............ hlanber of d~lling mits on each floor ................ If garage, ntwrl~r of ears ...................................... 6. If hmineas, t~mmercial or mixed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, if arty: Ih:mt ................ Rear ............... Depth ................. tleight ......................... Naif*er of Stories ...................... Oimensioos of sa~ structure with alterati~ or additions: Froot ............... I~ar ............... r~epth .................... tteight .................... Nmt~r of Stories ............... 8. llimensiom of entire r~; construction: Front ................ Rear ............... Depth .............. lleight ......................... Nu~er of Stories ..................... 9. $i~e of lot: Front .................... Rear .................... I)epth .................... 10. I~ate of Purdtase ..................... IGanae of Former O~er ........................................ I I. Z~e or use district in *ffnld~ premises are situated ................................. 12. Does proposed construction violate any ~oaing las*, ordinmace or regulation: ........................ 13. ~ill lot be regraded .................... Idill ex~ea fill be rem~ed fr~n premises: YES tO 14. N~mes of O~er of pi~ises...... .... ................. ffu:ldress ............................ . . Phone No ............ ~ of Ard~itoct ................................... o Address .............................. ~ No ............ N~ne of Co~tractor ................................... Address ............................... Pho~ No ........... 15. Is this property within 300 feet of a tidal ~etland? * ~ .......... NO .......... PLOT OIAGR/~ ,, locate clearly and distinctly all buildings, ,ahether existing or proposed, and indicate all set-back dimensions f-mm property lines. Gix~ street and block number or &scriptioo according to deed, and sh~ street ms and indicate xdeether interior or comer lot. 1~ is the: ..... (~t~ctoz,., '~5;.l~rate officer, ete.~ of ~id ~r or ~ks, ~ i~tJ'~thori~ to ~rfom or I~ ~r[o~ fl~ ~id mA ~ to m~ ~ file this a~l icatia~; that ~e ~ will ~ ~r[~ ~ 'it~m~r ~t [or~ ~ ~e a~liatim [i1~ ~. ~m te ~[ore OuaN~d ~n S~tolk Oou~