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HomeMy WebLinkAbout25292-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT offioe of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26186 Date: 12/21/98 THIS CERTIFIES that the building ACCESSORY Location of Property~ 1245 OLD FARM RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 26 Block 4 Lot 2 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1998 pursuant to which Building Permit No. 25292-Z dated OCTOBER 28, 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 SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to JOSEPH & GARNETTA CHIARAMONTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTMOLD 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. 25292 Z Date OCTOBER 28~ 1998 Permission is hereby granted to: JOSEPH F CHIARAMONTE 1245 OLD FARM RD ORIENT~NY 11957 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA. (SEE SURVEY). at premises located at 1245 OLD FARM RD County Tax Map No. 473889 Section 026 Block pursuant to application dated SEPTEMBER 16 1998 Building Inspector. ORIENT 0004 Lot No. 002 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 Form No. b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buil¢ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail buildings, property li~ streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~ 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 requiremepts. For existing buildings (prior to April 9, 1957) non-conforming uses, oK *buildings 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 applic~ If a Certificate of Occupancy is denied, the Building Inspector shall state th~ 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 $25.00, Sw4~ming pool $25.00, Accessory building $25.0{ 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 - 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction..~..~.. ..... Old Or Pre-existing Building ................. . Location of Property .................................................................. House No. Street H~ml et or Owners of Property..j~J~¥...~.~.~%.~.. Onwer County Tax Map No 1000, S?ction. ~ .~.,~, ..... Block.,...Y~. .Lot...~. ". Subdivision ..... ~ .............................. Filed Map. . Lot ....... Permit bio ................ Bate Of Permit ...... ... .......Applican Health Dept. Approval ........................ Underwriters Approval ....... Planning Board Approval ..................... ... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN/~SULATION [ ] FRAMING [ FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING [ [ ] ROUGH PLBG, [ [ ~ULATION [ [/] FINAL []FIRE PL AC E ~.~C~I/MNEY DATE ./~//?~/~'~ , TO~I OF SOUTBOLD BIJILDI~IG DEPARTt4EkqT TOI,/N HALL SOUTHOLD, N.Y. I]97! TEL: 765- 1802 Disapproved a/c ........................... ... o. · · ~ It]STRUCTIONS SURVEY ................ -.... · · · CBECK ..... SEPTIC FORPI ................... NOTIFY~ ~ CALL ~t~ ~- ~?} NAIL TO: ......... Date ................ a. 'this application n~st be coupletely filted in hy ~ariter or in ink and sulnitted to the l~fildiag Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ing location of lot and of buildings on praises, relationship to adjoining premises or poblie streets or arean, .and giving a de~ailed description of layout of properly n~st be chra~n o~ the diagram dalch is part of this application. c. 'Qm ~ork covered by this application my mc be cc~a~aced before issuance of I~ilding Pemit. d. Upe~ approval of this applicatloa, the Paildi~ Inspector will is~u~ a Bailding Pendt to the applicaato ~ch pemit ~hall be kept ~ ~ praises available for iu~ectloa thrcu~ the ~ork. e. No building shall be eecopied or used in ~hole or in part for any parpese daatever until a Certificate of Occupancy shall have been granted by the l~ildi~g Iuspeetor. APPLICATKI~ IS ~ IqAIE to the I~ildi~g l)epar~ent for tim issuance o[ a l~ailding Peunlt p~ranant ro the l~ildlng Zone Ordinance of the T(x~n of ~rhold, Suffolk Camry, Ne~ York, and other applicable La~, Ordinances or lCog&lations, for the construction of buildings, additions or alterations, or for re~oval or rlo~litiou, as berein deacribed. 2he applicant agrees to cauply ~ith all applicable l~s, ordinances, building code, h~ming cede, and (l~ailing address of applicant) State ~betber applicant is oauer, lessee, agent, architect, engineer,' general contractor, electrician, plumber or build~ '; · . ~.~e~ja~ I~ of ore, er of premlses .... ~.~ ............ -.~t~. ................................... .~'~as ~ Ehe ta~ ~O~1 orC~a~zes1: 'v :;",;{T~,h~(t ~3~]3~~ ~ ~"q~'O~ / If a~ti~t tsf~ ~ati~ ~m of &ly ~tt~ri~ officer. ........ ~{. ~. ~.. ~. l~. 1. k ]}~..{ ...... Pl~rs ~L~:'~;Z ~ ) · ~ ................ O~r '~'S'~ ~f?'3~. ................. ~4~j~Z<_ ,. ..= .............................................................. ......... ~.~ .................... ~ ........ ~ .............................. ~ ~r Strut ~et , ~, z~m~. ~ ~ti~ ..... ~.~ ..... ~l~ ...... .g. ....... wt .par..~ ....... · .. ~ ' ~ ............... ,~t ..... ~v~s~m ~ ................... Fil~ ~p ~. ~ .// ......... -- (~) 2. State ~isti~ m ~ ~ of ~Es ~ inte~ m' ~ m~ of pr~ c~t~tlon: /~ ~ ~. ~ ............ a. Msti~ m ~ ~ ............................................................. ..... ................................... P~ature of ~ork (check ~hlch applicab Repair ............ Re~ovat ........ [e); ~ I~tlding .......... Mditisa .......... Alteration .......... ..... l~olltton ............ Otl~r lqork '2'~P"~"sertpt~on)~Ile (to be paid on filing this application) 5. If dl~elli~g, ~ta~ber of ~elling units ............ ~r of ~lling onits ~ e~ fl~r .............. If ~ra~, ~r o~ ~rs ......... ~ ............................ 6. If ~i~ss, ~rcial or ~ ~, ~i~ ~ture aM ~ten~ of ead~ ~ o[ u~ ...................... t~i~t .................. ~ ...... ~rof Stories ...................... :' ] ,, ' ' "~ [~' Di~nsi~ of ~ st~e ~th a~terattms or ~itions: ~nt ............. i: ~ar ............... ~pth .................... ~i~t ' i, , k ~ .il ................... ~r of Stories ....... ~,, ...... ';: 'l 8. Dimnst~ o~ eut~e ~ ~t~C~: ~C . / ..... ~ar ..~ ......... ~p~ ........... ~i~t ......................... ~ og gtor~ea . / ...... I I. ~ o~ u~ a~stnet tn ~ ~a a~ a~mt~ ...... ~.~ ........................................ 12. ~a ~ mt~tt~ vtotate~ a~ ~i~ 1~, o~ime ~ te~[aC~: ..~ .................. ' 16, ~s of ~r of ~ . tess .... :7~. . T ~ oi A~dt~t ................ ~ .................... ~ress .............................. ~ ~ ............... 15. Is ~is p~t~ ~lin ~ f~t ~ a till ~tl~ * ~3 .......... ~ ..,~... Locate clearly and distinctly all fr~ property lines. ~iv~ street md ~t~ether interior or comer lot. PLOT DY AGRA~I buildings, ~ether existing or proposed, snd indicate all set-back dimenaio~s Lock nmber or description according to deed, and sbe~ street n~es a~d indicate ...l~ing duly ~m, deposes APPROVED AS NOTED FEE NOTIFY BUILDING DEPAR~ME'~AT 785-1802 9 AM TO 4 lam FOR THE FOLLOWING INSPECtI1ON$: ¶ FOUNDATION - TWO REQUIRED FOR I~URED ~d~ICRETE 2. ROUGH - FRAMING & PLUMBING $. INSULATION 4. FINAL - CONS?RUCTION MUST BE COMPLETE POP C,O, ALL CONSTRUCTION SHALL MEET THE REOUIREMENT$ OF THE NY. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OB CQNSTRUCTION iERRORS anq says Lhacne is tie lI~ is the ..... ~ .......... (Contractor, agent, of ~ald o~raer or c~ers, and is du~y application; that ail star--nfs c~t that O~e ~rk witt ~ ~r~o~ in tl~ orporate officer, etc.) ~thorl~l to perfot~ or have performed tbe ~id m~ mxl to ~ke a~ file this L{~ in ~[s a~lication are the Lo fl~e ~st of his k~l~ a~ I~lief~ a~ ~ ~m~r ~t forth in the a~l. icati~ fil~ tt~Ut. ~OUNDATION (2nd) ROUGH FRAME & .PLUMBING' 3. I]~SULATION PER N. Y. STATE ENERGY CODE 4. COMM£NT£ 9-) 'FINAL ADDITIONAL COMMENTS: