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HomeMy WebLinkAbout25797-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26552 Date: 07/09/99 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 820 TRUMANS PATH (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 31 Block 12 EAST MARION (HAMLET) Lot 16 Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1999 pursuant to which Building Perrait No. 2S797-Z dated JUNE 14~ 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 12' X 20' ACCESSORY SHED IN THE FRONT YARD AREA AS APPLIED FOR. The certificate is issued to EUGENE & BARBARA PERINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART~IENT OF HE;tLTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A ' Building In~ct~r 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. 25797 Z Date JUNE 14~ 1999 Permission is hereby granted to: EUGENE & BARBARA PERINO PO BOX 175 EAST MARION~NY 11939 for : CONSTRUCTION OF A 12' X 20' SHED IN THE FRONT YARD AREA AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 031 pursuant to application dated APRIL Building Inspector. 820 TRUMANS PATH EAST MARION Block 0012 Lot No. 016 30 1999 and approved by the Fee $ 35.00 ~~S/ig/~re ORIGINAL ~ev. 2/19/98 ~T ~" ' ~rJuL~.iapp 1 ~ kRr_i~nJ must TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY be filled in by typewriter OR ink and submitted to the buildi inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and s~erage-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 build 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 (prier to April 9, 1957) non-conforming uses, or buildings Ppre-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 applica, 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 $25.06, Sw~ing pool $25.00,~ccessor~ldimg $25.0~' Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existinR Building - $i00.00 3. Copy of Certificate of Occupancy - , .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $[5~/~ Commercial $15.00 ~-------------------~ Date..... ........................... . .. . . New Construction ...... ~ .... Old Or Pre-existing Building ................. .~.9 IR~.~a.~..'s Y, Sl ~ F_~/.~zt ~. ~ o~ .~./. Locatio~ of Property ................. House No. Street Hamlet Ouwer or O~mers of Property .... 6~..(f~../~J.~-~...~...~~.. ..~..~c-~(~. ~Q ............ . . County Tax Map No 1000, Section...~.[ ........ Block ..... ~.~. ........ Lot ..... /.~ ........... Subdivision .......... ~!(: ................. . .. . Filed Map ......... .. . Lot .................. Pe~it ~o ...... V.:l. ¥ ~S--gate Of Pe~it. k X{X..7~. .... App~icant ....... .~e~n~.o ......... Realth Dept. Approval ............... ~J~ ....... Underwriters Approval ..... A3./~. ............ Planning Board Approval .......... ~. ......... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: S.~ .3~..~ ............... .. . .. co Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOI,r~ June 30, 1999 Mr. & Mrs. Eugene Perino P.O. Box 175 East Marion, NY 11939 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25797-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ .] IN_/SULATION/~ [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY OtI~ATIO~ (IST) '~',IDATION (2ND) PLUMB ING r~SULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMI~EHTS: FO~fNO. I TOgNOF SOoTflOLD BUILDING DEPARTMENT TO~gAIJ. SOUTBOLD, N.Y. 11971 TEL: 765-1802 ~Oa~~T~ ............... ~3 S~TS O~ ~LAltS ......... ...... NOTIFY: /. ........ :..: CML ... 77 7- y~s ~ MAIL TO: ................... A~PLICATION FOR BUILDING PENHIT INSTRUCTIONS Date ................ ,19 .... a. Tais applicatico anst be ccmpletely filled in by typewriter or in ink and setmitced ro the Building Inspector 3 sets of plans, ~-~n-ate plot plm to scale. Fee according to sdaed~le. b. Plot plse ~ locatico of lot ~d of buildings co premises, relationship to adjoining premises or public streets or areaa, aed giving a detailed description of layout of property ~mt be dr~ co the dingran vhich is part ol this application. / c. ~Pae work covered by this applicatico may not be ommenced before isstum~ce of Building Pemit. d. Upo~ approval of this applicatico, the Building Inspector will issue a Building Permit to the applicant. Bud pemit raga11 be kept oa the premises available for inspectico throagtmut the ~ork. e. No building ~11 be occupied or treed in ~i~ole or in part f~r ~ ~ ~hatever until a Certificate of APPLICATI(It IS ~ ~ to the Baildirg Del~,',--,t for the issem~e of a Building Pemit pursuant to the l~ilding Z~e Ordln~ce of the T~m of Southold, Suffolk County, ~ York, amd other applicable Laws, Ordinances'or l~;ulaticos, for the c0nstmction of buildings, additicos or alteratioas, or for removal or m~olitio~, as herein described, lhe applicmat ~'~s ~o .-~p. ly will~ all applicable iai, ordinm~es, I~ilding code, housing code, and on in building for nece i ,n~ecticos. (Hailing at'tess of at~plicant) { ~.~ State ~hether ~ylicamt is m~er, lessee, agent, architect, engineer, gemeral contractor, electrician, plmber or bail, ............................ iP~. ~.~. ~.. ............................................................................. ~- o~ ~ o~ ~-,~ ..... C~..~..~.~ .... t...~F..~..0£~ ...... ?.gM./M.o. ..... '(as on the tax roll or latest deed) If appliomt is a corporatico, signature of d~ly aithorized officer. ...................... ~/.~ ............................. ~ ~ ,,,e of ~o~ o~.~,~) OCCUPANCYOR ~i,~,~ ,,:~.~ ~, ........... .~./..~.USE. IS UNLAWFUL ~ IUIU)INO DEPAR~VIEI~T AT ......... ~.a. ~ ............ 7.8. ~ t~i.~).'~ .... ?~4~-~ ................... ~ff~.<...~. ~ _ .~~'~. ?.?~. ~ ~r ~t ~let ~~. ]~ ~ti~ ..... ~J ........ ~ ...... /.g. ...... ~t .... Z~ ........ ~iMsim ............. ~/J .................. Fil~ ~ m ................ ~t ............... (~) 2. s~ ~ti~ ~ ~ ~ o~ ~. ~ ~t~ ~ ~~~i~: ~. ~ ~~ ...... :~ a~ .............................. .......... P~= -~ ~ ........... ~/.d..W. IT. HOUT CERTIFICATE '~ ~ 4. FINAL - CONSTRUCTION MUS, ~,~c,~ .~ ~ ....... ~/~ ·OF-OCCUPANCY ~ ~,, ~. ~.o. ~r ~'a ~ ~ ...... ~./.~ ....... ~EA~ CONSTRUCTtONREQUIREMENTS SHALLoF THEMEETN Y Natsre of ~ork (check ~,tdch applicable): NO~ Building . .. i~dltion .......... Alteration .......... r............ ~,~ral ....... .. . ... De~oli~ioo ............ O~er t4brk ............... .. ~.~ .~..~ ........ .. ,(Deacript i~xO ' '~stlmated Cost ...~..~.~..; ............ fee ........................................ (to be paid oo fih~ th~s apphcattc~)_~.~"~ Ir d~elli~g, rxmtJer or ~lli~ units ...~....~. .... limber of O~elling units on each floor .... ~..~. ....... If ~ra~e, ot~er or cars .... ./X..~. ........................... If I~siness, co~m~rclal or mi~d occupancy, specify nature m~I extent of each ~ of use ..... ~.!..~. ........... Dimensions o[ existing stmct~rres, if any: Prunt...~. .......... Rear . .~.d. ......... Depth ...~.d. .......... DeiSt ... ~.~.~ ................. ~r or Stories ..& .................. Oi~ensioas of s~e strocture with alterations or additions: Froat /v/~ Rear A/ Depth........~..~. ....... ~leight................../V ~ . . limber or Stories .............. Dimansioas or entire ne~ cc~stmctiun: Froot ...M~../ ....... Rear -~ / l)epth Dei~ht .... /?. .................. limt~r of Stories .../. ................ si~ or lot.- r~t ..~...~.f ............ Re.~ ..... Z.~K.~ .......... Depu, ..X.~C ........... Dace of Pordmse ..././..:. i~. Z ......... s~re of ror~er O~er . .~..~..~.....~. J..Z:..~..~.~..q .............. Zose or use district in ~,t~ich premises a~ slt~ated .......................................... . ... ... ........ . . . . . l~oes proposed cunstructloo violate any z~in~ la~, ordinance or rei~alatiom . .~/..~ .................. gill loc be regrmted ...~...~. ............ Will e~cess fill be removed frcm premises: /1/~ES Na~ or Architect..............~/A ................... ... Address .................. . ... .. . .... . Pts~e llb ............ Nam~ of Co~tractor ................................... /kldress ............................... ~ No ............ Is this property within 300 £eet or a tidal ~etla~xl? * ~S .......... NO..........~ ~ ' PLOT DIAGRAM Locate clearly a~d distinctly all Imildlogs, ~,~ether existi~ or ~, ~ i~i~te ~I ~t~ d~i~s ~r~ li~s. Gi~ s~t ~ bl~ ~r ~ ~rip~i~ ~i~ ~o ~, ~ ~ s~ ~s ~ i~i~e ~r interior or ~r lot. ~ is the ..... , y~a~j~ . (~l~'~ate officer, etc.) ,f ~id ~r or ~s~T~Ci~ ~Y~t~ri~ to ~rfo~ or ~ ~rfo~ ~m ~id ~ ~ to ~ ~ file imt ~ ~ will ~ ~f~i'~ ,im,,~r ~t fgrth i~ ~e a~ti~ti~ fil~ ~. ~m to ~fore ~ ~~ _ .-': ........................... PEi !'NO ' f · ' TOWN oFs,:ZUmo~?, ~.¥. · SU,~ (~UNTY ' :'~---" ' --' The ~waEe disposal and tocatlon have ~en '0. E. LEV.~T. IOI,4_5 I~.I:;'tFE~ T'O 16,8 T'O '~zVAi'E'I2 IN T~.~T HOLE' TO THE ~TANDAt~i)S OF TH SUFFOLK CO. DEPT. OF HEALTH SERVICE; Is) ¢[~V(.~[S - ~0~ A~OV~ 0 DATE: . ~D: · ~LK CO ~AX ~ ~N~: .:~:~ .B.1. ]~ , .. f~,~ .~yy~ ~. A~E: .... : .. ~ J i~ "" 'r .E~T '~ M.~. .... ,-,