HomeMy WebLinkAbout24877-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25865
Date: 07/30/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2275 HIGHLAND RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 8 Lot 8
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 13, 1998 pursuant to which
Building Permit No. 24877-Z dated MAY 13, 1998
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 SHED IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to KENNETH G MOORE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/a
N/A
N/A
//ui 1~ ng Inspector
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. 24877 Z Date MAY 13~ 1998
Permission is hereby granted to:
KENNETH G MOORE
PO BOX 943
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF AN 8 FOOT BY 12 FOOT ACCESSORY SHED IN REQUIRED
REAR YARD AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 102
pursuant to application dated APRIL
Building Inspector.
2275 HIGHLAND RD
CUTCHOGUE
Block 0008 Lot No. 008
13 1998 and approved by the
Fee $ 35.00
Building~I nspect~or
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
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 electricai 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 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.
C. Fees
I. 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-existin~ Buildin¢ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... ?/..~. ~ f.~. ~ ...................... ... ..
New Construction ........... ~-~-~"Old ~~Or Pre-existing~Op_3~_~t~z~_2Building ........... ~_ .... ~J~' ~?.~
Loc tion of
House No, Street Hamlet
Onwer or Owners of Property ..................................................................
County Tax Map No 1000, Section.!~?T ........ Block....~g. ........... Lot..~. ...................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No..~J.~..~...~..~...Date Of Permit..~.2~.~..'.?.~ .... Applicant .... ..~.,~;...~...~.~..~.? .......
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval .......
Request for: Temporary Certificate ........... Final Certicate....~. .....
Fee Submitted: ..~ ......................... .;
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 SOUTHOLD
July 16, 1998
Kenneth Moore
P.O. Box 943
Cutchogue, New York
11935
To Whom This May Concern:
We are unable to complete your Certificate
because of the following reasons:
XX
of Occupancy
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 # 24877-Z
Please contact our office on this matter. Thank you
cooperation.
for
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION
(lst)
FOUNDATION (2nd)
ROUGH FRAME &
.'FLUMBING'
INSULATION FERN. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: /~?~~
[ ] ROUGH PLBG.
[ ~,~ILATION
[,~"] FINAL
DATE ~/~~/~ INSPECTOR
The
Nassau
An excellent "on location sales office", pool house, or
general storage for your home, A beautiful way to meet
your storage needs. Single or double doors are
available on ALL MODELS. 8' high.
~r'Porch
This Uniqtle shed can be used on one side as a
changing room for the pool or storage and on the other
side asa play area for the kids. It comes in the Nassau,
Suffolk, Ranch of Colohial Barn styles.
Mini Barn t Barn
Thi~ model will surely complement the natural This mod~l glve~ you mo~'e headroom then the 4 foot
landscape of your property. Like other models, the
double doors will accommodate everything from tools
to heavy lawn & garden tractors.
side Wall model, but with the same great look.
PORH HO. ]
TO~/N OF SOUTUOJ.D
BUILDING I)EPARTHENT
TOWN IIALL
SOWflIOLD, H.Y. 11971
TEL: 765-1802
1)i~ppr~ed a/c...... ......................... · ..
(Building ln[l~-~ctor) X~
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CUECE ..... · ....................
SEPTIC FORH ...................
NOTIFY:
C^LL 73~- 7/?/
NAIl, TO: ....................
APPLICATION FOR BUILUING PEEHIT
INSTRUC'FIONS
a. 'lhts application mast be conpletely filled in I)y t3rpe~riter or in ink end mflxaitted to tim Building Inspector wi,
3 sets of plans, accurate plot plan to scale. Fee according to sd~edule.
b. Plot plan dwraing location of lot and of b~ild|nga on premises, relationdtlp to adjoining premises or gd)lic
streets or areas, and Riving a detailed de~crlptlc~ of layont of property mint Im dra~n on the diagr~n ~ich in part of
this application.
c. 'lhe work covered by this application may not be cc~eoced before isstmnce of Ikdlding Permit.
d. Upon approval of this epplicatlon, tim Building Inspector x~il]~ issue a Building Permit to the epplicaet. ~ch
permit shall be.kept on the prend~es available for tnapection thrt~tmt tim work.
e. No building slmll be occupied or u~d in Mvole or in part for any purpo~ ~mtever until a Certificate of
Occupancy ~mll ha~e been granted by tim Building Inspector.
AP/'LIC~TIC/~ I$ HEF~flY gI~UE to tim I~ailding Uepartrmnt for tim issuance of a Ikdlding Permit parmmnt to the
Building Zone Ordinance of the To~n of Scmthold, Suffolk C~mty, Ne~ York, and erbar applicable l.a~a, Ordlrmnce~ or
Regulations, for tim conatrnction of hdldlngs, additions or alterations, or for r~oval or demolition, as herein
descril~l. 2tm applicant agrees to c~nply with all applicable la~a, ordinanase, Imilding code, houalng code, and
r'egulat,nas,,axl to admit tmthorized tn~ctors on ~ises ned
(Hai I lng address of appl icant)
State whetlmr applicant is ~nmr, lessee, agent, architect, engtt~e~r, general contractor, electrician, plomlmr or Ixdhle~
(ns on tim tax roll or latest deed)
applicant is a corporation, alguat~re of duly m~tl~>ri~<l officer.
and title of corporate officer)
l~)ilders License NO .........................·
Plt~bers License l<o ..........................
Electriciana l.icenae NO ......
~Jll-'ll~ · ~ ~1) 4, IIM FOR THE
'1 F~ * ~WQ REQUIRED
4. FINAL - ~oN~RU~ION MUST
BE ~M~ FOR C.O.
ALL CONSTRUCTION SHALL MEET
Other Trade's License NO ..................... 1PdE REQUIREMENTS OF THE N Y
' ..~I'.A. TE ,C. ON~.T..R.t)CT ON ~ ENERGY .
I. lz~catlon of land on ~hid~ proposed work .ill be (k~e ................................................
·, ~, CODES. NOT RESPONSISLE ~O~
I~ ~r Strut I~et
~.~ x~ ~ No. ~ ~ion . ~.~.~.~..' ~ ..... ~ ........ ~ot .~ ............
(~)
2. Sta~e exist~ u~ a~ ~y o[ I~i~s a~ intem~ tree and ~m~ of p~ const~t~on[
~. ~ ,~ ~ ~ ...... ~/~ .... ~ ............................................................
b. ~.ta~ ,,~ .~ ~ ...... ~ ~-C~- · P~---~ ~-- ~ ~ ~" ~'q'< ~ .............
'I. i~flure of ~ork (dmek ddeh applicahl ...... ~klitt~ .......... Alteration ..........
E~ci,~t~l ~ f~ , .
(~o ~ ~id {~l filing this a(~licari~)
6. If Ixmi(~ss, mm~rcial or ;al~f~q~my, s~cif~ imtur, ami ex,ear of ea~ ty~ of u~ ....................
'~,)", .... ~-~m. ~o,~ ...~/.~(~ ..... ~,,,~ o~ s~o~i~'~ ~. ...~. ..............
t~( . ~.~
S. lii,~nsl~m o~ satire ~ ~mtr~t:i~: Fret ..... ~ ...... I~ar .............. ~pth ..........
IhiO~t ......................... ~;d~r of Stories ...................
... ~ .... L~.L~/... ~p~, Z~%~
*". *~,,'~ ,,~ ~,~,~,~ ............... ~.. ~, o~ ~,,,,,~ ~ .... ~..~/~ ...................
II. ~m or u~ distrtct In ~id~ praise a~ ait~t~l ..... ~(~ .......................................
12. ~a prol~l ~mtt~i~ violate any ~dng I~, ordinate or regulatl~: ..~, ..................
~06'~ .............
15. Ia thi~ p~ty within ~ f~.of a tithl t~tla~? · ~ ......... ~ ........
PLOT lilAC, IrAN-
I~cate clearly and distinctly all buil(lln~a, uhether existing or proposed, m~d hxlleate al! set-lmck (limenaione
proporty lines. Oi~ street and block si:/)er or description accordte§ to (~, and ~ho~ street nares arkl indicate
interior or corner lot.
duly ~)r,, (lelx)~s and m'~ys that he is the
,c)~)rt~ LO belt)re ,e t.h[a
...... // .......... dsy ()~ ..~.. ~ .......... 19..~ ....
~La~ t,~tie ~~..~'
Notary Public, State o~ N~w York
No, 2902~60
Qualified m SW~olk County
Term Expires JanuarY 3L ~
(Sig[mt"ure of Alq)l ica,t)
(Cx~utractor. agent ~ cor~rate officer, etc.)
of ~td ~r or ~[~, end i~ duly m~[hor]~ ~o porfon, or hsve i~rfor.~l the ~hl ~[~ and Lo n~ke m~] ~[le I. hi~
elq)l [catiell; thai: all .tatemnta c(x)tai~l in (.ilia elq)J [(:ati(~l are tn~ Lo the lest
that the ~rk wilt I~ ~rron~l in the n~ml~r ~t forth in the al~Pl, lcatlo~ f[l~l
,; ~.500 '
~h,~ef ot Gonernl Englneeriz~
Services
SUBDIVISION MAP FI/ /~D IN TI'i~OPF/CE OF ?H£ CLERK OF SUFF'OLK
· =MONUMENT ~ = STAKE . .
SURVEY FOR
MOHt~ING ENTERPRISES, INC.
LOT NO. II, " HIGHLAND ESTATES
AT CUTCHOGUE
TOWN OF $OUTHOLD
SUFFOLK COUNTY, NEW YORK
OATE: NOK 8, 19B2
SCALE, / "-- 50 '
NO 8,~ - ?,~.9
YOUNG YOUNG
RIVER~AD~ NEW YORK
ALOE" W. YOUNG, PROFESSIOt,AL ENGINEER
AND LAND SURVEYOR NY.S UCENSE N0.12845 ~ ~
N Y.S LICENSE NO 45893