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Home My WebLink About25619-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26664 Date: 09/07/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 7755 MAIN BAYVIEW RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 78 Block 9 SOUTHOLD (HAMLET) Lot 30.2 Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 1999 pursuant to which Building Permit No. 25619-Z dated MARCH 18, 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 8' X 16' ACCESSORY SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to ROBERT T & ANDREA G MOHR (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 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. 25619 Z Date MARCH 18~ 1999 Permission is hereby granted to: ROBERT T & ANDREA G MOHR 545 WABASSO STREET SOUTHOLD~NY 11971 for : CONSTRUCTION OF AN 8'X16' ACCESSORY STORAGE SHED IN THE REAR YARD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated FEBRUARY Building Inspector. 7755 MAIN BAYVIEW RD SOUTHOLD Block 0009 Lot No. 030.002 25 1999 and approved by the Fee $ 35.00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 ex'sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: i. 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. 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ~..'. ~ ~ ~ ~?'- ........................ ii ,'.,,, ..... Location of Property ..... - ....................... ~. .... ~ .... House No. Street Hamlet of Property ~~~/~ ................ .'Z.?. ...... County Tax Map No 1000, Section ....... Block ...... Lot ...... Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~.~..~.~ f ..... Date Of Permit...~./J..~/f~....Applicant- -- .~./.~../~. · · .~. .............. Approval Underwriters Approval ......... Health Dept · - Planning Board Approval .... Request for: Temporary Certificate ........... Final Certicate..~.. ...... Fee Submitted: $ ............................. C0 ~ ~¢ ~ ~ APPLICANT ~ELD INSPECTION P/gPORT DA't~ )UNDATION ( 2ND ) COHM~NTS )UGH FRAME & PLUMBING ~SULATION I~R N. Y. STATE ENERGY CODE II II II 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU~--BG. [ ] FOUNDATION 2ND [ ] I,~UI. ATION [ ] FRAMING ~__/,]/FINAL [ ] FIREPLACE & CHIMNE~)~ ~ DATE ~/~,'~ I NSPECTOR~~/~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 %tatement 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 build/ngs (prior to April 9, 1957) non-conforming uses, or buildings and Ypre-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. 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 Buildinm - $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 Construction ........... Old Or Pre-existing Building ................. ~ation of Froperty ..... ?..~..e~.. ............ ~..¢~. ................................... House No. Street ~mlet ~wer or Owners of Property ......... · ................. '~ ............................. 0o0, Section ...... .... ..................... Filed Map Lot ...... %~b4ivision .............................................................. · ~rmit No.......... .... .. Date Of Permit ................ Applicant ............................ ~Ith Dept. Approval....... ................. .. Underwriters Approval ........................ arming Board Approval · · · tifi .......... ~quest or: Temporary Cer cate ....... Final Certicate. Submitted: $ .......... APPLICANT FORH ~I0. I TO~I OF SOUTi/OLD BUILDIIqG DEPARTHENT TOl~l HALL $OD?IIOLD, 1/.¥. 11971 TEL: 765-1802 Disapproved ale ........................ NOTIFY: HAIL TO: .................... INSTRUCTIONS a. ~his application must be c~pletely filled in by ~iter or in i~ ~ ~itt~ to ~ ~ildi~ I~tor ~ 3 ~ta of 0~, ~ate plot plm W ~le. ~ ~i~ to ~le. b. Plot pl~ ~ lmti~ of lot ~ of ~ildi~ m ~s, ~lati~ip to ~joinig ~r~,S or ~lic struts or ~e~, ~ 8i~ a iuil~ ~ripti~ of l~t of ~ m~st ~ ~ m ~ diem ~i~ is ~rt of "~is ~h~t~. ' c. ~ ~ ~ ~ ~is ~li=ti~ ~ mt ~ ~ ~fore im o~ ~ilaig k~t. d. ~ ~ of ~i~ ~i=tim, ~ ~ildi~ ~ctor ~11 i~ a ~ilai~ ~t to t~ ~li~t. ~ ~t ~1 ~.~pt m ~ ~s ~il~le for i~ti~ ~$t ~ ~. e. ~ ~ilii~ ~1 ~ ~i~ ~ ~ in ~le or in ~ for ~ ~ ~t~r mtil a ~rtificate of ~ ~11 ~ ~n ~t~ ~ ~ ~ldi~ ~tor. t. ~I~ Ii ~t ~ ~ t~ ~ildig ~nt for ~ ism of a hildi~ ~dt ~t to t~ ~ldi~ ~ ~ of ~ ~ of ~ld, ~ffolk ~ ~ Yo~, ~ o~r ~li~le ~s, ~imes or ~ati~, for ~ ~tim ~ hilai~, ~iti~ or altarati~, or for r~ or ~liti~, ~ ~min ~i~. ~ ~i~t ~s to ~ d~ il ~li~le 1~, oraims, ~iliig ~, ~i~ ~, ~ ~lati=, ~ to ~t m~ri~ i~tors ~ ~r~s ~ in hildi~ for ~s~ i~ti~- ~.i~ .................... (Si~=e of ~li~t, or m, if a ~rati~) (V. ailing ua~ess of applimmt) State s/ether ~t4)lic~t is o~er, les~ec, agent, architect, engineer, '~_.n~r~l ~t~tor, el~tricia, pl~r or ~ . . ~. _ _ ~.~.~e~ ...... ~...,......~ ................ or ~r o~ ~s ....... ; .........._- "Z~" . ...... ~ . -- ..... DA~(~ ~ · ..... (l~me ~ title of co~orate officer) OCCUPANCY OR ~.~,r~ .~ ~, ........... USE..IS.UNLAWFUL ~.l,~- .~ ~o ........... WITHOUT CERTIFICATE ,,ec=~¢~ ==~ ~ ....... OF'OCCUPANCY 765-1802 9 AM TO 4 FM FOR 'tHE FOLLOWIN~ 1, FOUNDATION - IWO REQUI~ED 3. INSULATION 4. FINAL - CON~FRU~"TION MUST BE COMPLETE FOR CO. ALL CON~TgU~ON ~HALL Other Trale's Liceime 1~ ..................... THE REQUIREMENTS OF THE N.Y. _ COD~S,0 ~,m~v~- · . Z.Z~ ................. ~/.~..~ ~/~ ................ ~ .~~N-~ ......... ~ ~r S~t ~et ~ ~ m. ~ ~ti~ .ZO. QO .......mm ..gg.r.~.. ~t ........ ~.... . . Fil~ ~ ~ ............... ~t .......... ~ivisi~ .................................... (~) ~. ~sti~ ~ ~ ~ ............. Z~O.~J.~,. ~ ............ ~ ~---' ........................... . ~_~ ~e. .,~ ..... '.,..'.:.~..: .............. b. ~t~ ~ ~ ~ ............ "~ ..................... I0. II. 12. I~. 15. ~'~ proper[7 lines, Give street and block ~aether ie~erior or corner lot. R~tt,re of ~ork (check al, id, aPPlicable):Ney Building .......... Addition .......... Alteratta~.%i,.~ ...... .. I/sCim~ed CosL ............... ~ ......... fee .............................................. (to be paid un fillng this ' If d~elling, nunber of d~elling units Itenber of d~elling units on each floor . If ~ara~e, n~ber of cars .... ~ ................................. If I~sisess, c~=rcial or raised accup~cy, specify nature and extent of each t3~pe of use ...................... Dir~ensicas of existing atmcOares, if any: Frunt ................ ~ ............... Bepth ................. Reight . . . limber of Stories l)imensi~s of sane stmct~me vlth alterations or ndditicas: Frunt ............... Rear ............... l~pth .................... Helitht .................... l~nber of Stories ............... Bei~h~ ....................... . .. fischer of Stories .................... . Zo~ or ose district in ~/~ich Premises are slt~ted ............................................................... Does proposed coastrectiun violate any zuning la~, ordiunnce or ~%-ulatiun: ~ill lot be reEreded ......... , .......... ~/ill ex~ees fill be ~eoved fran premises: I~ Nme of Architect ............ i ....................... kldrese .............................. Phone No .............. Name of Cuntrsetor .: . . /kidress ............................... l~bese No. Is fids property vithin 300 feet o~ a tidal ~etlacd? * 1~ .......... N0 PLOT DIAGRAH locate clearly and distinctly all buildings, ~,t~ber existing or proposed, end indicate all set-beck dimeasicas n~ber or dascrlption according to deed, and eho~ street n~res end indicate ,, ..... ,., ,,,., ..... ................................ ..... ~ ...... ; .... day of .~~.LZ... ~t~,~lic . .. ' HELENE D1 HORNE Notary Public, State of New York No. 4951364 Qualified in Suffolk County; Commission Expires May 22, (Si~ature of Appticaut) / /'