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HomeMy WebLinkAbout24874-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26401 Date: 04/22/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 270 MOOSE TRAIL CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 10 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1998 pursuant to which Building Permit No. 24874-Z dated MAY 12, 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 STORAGE ~w~D IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to ROBERT K & BARBARA A. HARKINS (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 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. 24874 Z Date MAY 12, 1998 Permission is hereby granted to: ROBERT K HARKINS & WF PO BOX 175 CUTCHOGUE~NY 11935 for : CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 270 County Tax Map No. 473889 Section 103 pursuant to application dated APRIL Building Inspector. MOOSE TRAIL CUTCHOGUE Block 0004 Lot No. 010 10 1998 and approved by the Fee $ 35.00 Buildlng lnspec~r 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 i% 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 Vpre-existing" land uses: 1. Accurate survey of property showing ali 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-existing Buitdin~ - $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 ..... New Construct .... Old Or Ftc-existing Building ............ Location of Froperty.. ........... ......... ....... House No. Street Hamlet Onwer or Owners of Property...,.... ........................................................... County Tax Map No 1000, Section..~..~.O...Block ................ Lot ...................... Subdivision 6900:J .... . ....................... ................................. Filed Map ......... Lot Permit No .......... .~. .... Date Of ..... Health Dept. Approval ........................ .. Underwriters Approval.... .............. ..... · · Planning Board Approval ........................ ~/~/~ £///~ Request for: Temporary CertificateFee Submitted:~ ~ ~.........................-iiiiFinal Ce ticate''''~'''''/~~ ~ i APPLICANT Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 April 14, 1999 Robert Harkins P.O. Box 175 Cutchogue, 11935 BUILDING DEPARTMENT TOWN OF ISOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of OccuPancy is not on file. (Enclosed) No Underwriters Certificate on file. 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). 24874-z BUILDING PERMIT # Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~ S'T'o/~ ¥ © lOo. O0 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ~FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE ,,INSPECTOR POP,~4 NO. I TORN OF $OUTIIOLD BUILDINO DEPARTHENT TOWN I1ALL SOUTIIOLD, N.Y. TEl,: 765- IS02 T NS*I'IIIJCTIONS SURVEY ........................ CHECK ......................... SEPTIC FOEM ................... n. 'lhin app]icntlo~ mint I~ cm~)letely Filled in by tyl~,~riLer or 7; b. Plot plnn ~1~ l~tt~ o~ lot ~ of Ixdldi.gs struts or .re~s, ~ml ~tvi~ ~ &t~{l~l &~riptt~ of l~t of pro~rty .mt I~ dr~ ~ the di~n ~fleh in I~rt of .this nl~d icntt~s. c. 'U,e ~ c~r~ ~ fids ~lie~ti~ my ,~t d. O~ ~1 of this 8~lic~ti~,. tim lhihli~ lns~ctor ~dll tsmm a ~tlding ~mlt to lhe .pplic~.t. ~ch i~mit flmll ~.kept ~ fl~ ~1~8 8vail~le for tns~t{~ thro~t the s~rk. e. ~ ~tldl~ flmll Im ~tml or ~l in ~le or ~,IC~FI~ ]~ l~ t~ to tim lhfildi~ ~rt~n~ ~or the i.~e o~ n ~ildlng Pemit ~rmmnt to 'lhe ~l~Clms, f~r tl~ ~tmctim o~ hdldt~s, m~it{~ or ~].ter~ti~s, or ~or r~l or ~lition, .s l~re{. ............ ........ ~.~~ .............................................................................................. ~ o~ ~ o~ ,=,~...~. ....... 1. .... ~ ..... ~g. .......... , ...,,~,,,, ............................ If n~)llc?nt is n co~att~, si~e of ~Jly ~tl~)rt~ officer. and title of corporate officer) Ikdlders License Ix~ .......................... Pl~rbers License l~o ........... Electricians Ltce~ ~ ...................... O~l~r ~'~ Licen~ ~ ................... · . l~n~i~ of 1~ ~'~ltd~ pr~l ~rk will I~ ~ .............................................................. 7& q7.5~?~ ' ~l~ivisi~ .................... ~ ................ I~t ............... State exist~ ~ s~ ~y of I~tse~ ~ intea~ ~e a,~ ~ of pro~ c~stmcti~: a. F~isti~ ,~ ~ ~y .~.Z~ .~.~ .................................................... b. ln~e~ ~ ~ ~ ..... - ............ '.'.~ ............................................. PI.OT I)~ AGllAt4 I~x:ate clearly taxi distinctly all I)uil(li~a. uhether axial:lng or propoivad, taxi lodlcate all aec-back dimenaioaa ~r(~n prol~rl:y Ii.ea. Give street a,~l block ami~er or (~acrlpti~ accordin8 to ¢~, a~ ~ street ~ms ami i~licace td~etl~r i.terior or corl~r 1o~. NOTI~ 8UILOING O~ AT OF OCCUPA.C 1. FOUNDATION - TWO REQUIRED FOr{ POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, ;NSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .......................................................... Ix~i.It duly u'v~)ru, (lelx)ea~ atxl says thai: he ia tim appl. i(mnl: (~,~u of i~xlivichml..iD.i.8 c(x~tract) ((~)iltractor, aSellt~ cor~ra~e officer, eLC.) (ff .aid (~r or ~r., h[KI i. duly authoci~ fo I~rfi)na or h~ive Ix~rl~)r.[~{ (.he miJ(I ~rk aiKI to hake elk] file tl)i. tq)l)lict~tio, i; tlmt ali atata~n~e c(x)tah~l in I;h[s eib)lite,ion are t:n~ Lo the I~eC thaL th9 ~)[k vid I~ ~rFon~l iu Lhe n~3n[~c ~t forth in the ai)pLicacion ~ii~ tl~r~[a~. ~)n~ to I~fore [,~ (.his ........ - ~ ~ / ~2/ ......... ' ~ ~ .... GY ( tl~ll31re Ol: AI)ptJca,~t) / ~ali~ed ~mmlsalon ~r~ Uay 26,