HomeMy WebLinkAbout25043-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25831 Date: 07/16/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 235 CAROLE RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 52 Block 2 Lot 7.4
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 6, 1998 pursuant to which
Building Permit No. 25043-Z dated JULY 16, 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 REAR YARD AS APPLIED FOR "AS BUILT" IN 1979.
The certificate is issued to THOMAS BRENNAN
of the aforesaid building.
(OWNER)
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 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. 25043 Z Date JULY 16, 1998
Permission is hereby granted to:
THOMAS BRENNAN
CAROLE ROAD
$OUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY STORAGE BUILDING IN THE REAR YARD AS
APPLIED FOR "AS BUILT" IN 1979.
at premises located at 235 CAROLE RD
County Tax Map No. 473889 Section 052
pursuant to application dated JULY
Building Inspector.
8OUTHOLD
Block 0002 Lot No. 007.004
6 1998 and approved by the
Fee $ 35.00
- n 'p'e' t O 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 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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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
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 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 .'~- /~/.?~
New Construction ......... Old Or Pre-existing ~uilding ......
Location of Property.[ [.'..2.~.~.. ............... .'.~.~.O..~...[.~.''i][[[...~[~..~.....~. ..........
House No.~ ~-~n ..~..~. Street Hamlet
County Tax Map No 1000, Section .............. Block ................ Lot ..... f ................
Subdivision ............................... ..... Filed Map ............ Lot ......................
Of Permit Applicant . ..
Health Dept. Approval..........................Underwriters Approval .........................
Planning Board Approval ....
Fee Submitted:
~PPLICANT
...................................
Town of Southold
Building Dept.
Main Road
Southold, N.Y. 11971
Attn: Gary Fish
March 15, 1998
Dear Mr. Fish:
Regarding property District t000, section 52, Block 2, Lot 7.4 toeated at 235 Carote
Road, Soutt~old, N.Y. 1:297t and the frame shed(6.2'X 8.2')located along the westerly
side of said property arid the year the shed was tomted there, t contacted -the former
owner, Mr. Nick IppolRo, .12501 Mafidh Club D~., Ft. ~v[yers3 Florida, 33919 and he
stated that he purchased the property'in 1969 and placed the shed at its present location]n
1979.
I hope this is sufficientinformation to proeecd inmy application-for a Cert'nemate of
Occupancy.
Thank you for ~our help.
Th6mas B.Brennan
765-2355
I?ORN NO. I
TOIJN OF SOUTIIOIoD
BUILDING DEPARTHE[~T
TOWN UALL
SOUTIIOLO, N.Y. ] 197 !
TEl,: 765-1802
BOARD OF REALTN ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECR: .........................
SI[FTIC FORI4 ...................
HOTIFY:
CALL ..................
HA31. TO.* ....................
· Date ....... ,19
; I =L" BLDG. DEPt. '~:f~
3 sets'~f plans, ac~rate plo~ ~an ~o ~ale. F~ accordi~ to ~lle.
J b. Plot plan ~i~ l~tt~ o[ lot ~ of ~ildiags ~ ~t~s, mlatl~dp to ~joinl~ pr~i~s or ~a)lic
~r~ts or uress, ~ 6ivt~ s ~11~ ~cript{~ of loy~t o~ pro~rty mm~ I~ dr~
d. U~ s~sl of fltis s~]icati~, tim l~ildi~ Ins~ctor wtl~ is~ a ~ildtag ~emit to t}~e s~plicsa~. ~ch
e. ~ ~ildi~ droll k ~im{ or ~ in ~ole or in ~rt for a~ ~ ~mt~r
~Jl~'fI~ IS 1~ ~ to tl~ Ikd]di~ ~rt~nt for fl~ issue of a ~ildt~ ~mit ~mmnc to tl~
~lati~s, for tim ~s~i~ of hdldi~s, ~itt~s or sl~ersti~, or for ~sl or ~ll~t~,
~kscrt~. ~ sppli~t ~s to ~ly vi~ sll s~licsble lms, ordl~,~es, ~tldiq
re~datims,~m~ to ~it ~rt~ in--tots o~ ~i~s s~ tn ~ildiq for ms~u in~ims.
7... ~ ..... ~ .. :~ ;/. ...............................
INSTRUCTIONS
,npletely filled in by LTpe~vriter or in ink ar~l mflxnitted to the {kllldiag {,mpe<:tor ~i
'k
SLate ~l~etber applicant is ~er, lessee, agent, architect, enstneer, §e~eral
(as m tl~ Csx mil or latest d~)
If s~ticm,~ is a co~r~tim, si~e of duly ~tlg)ri~l ogficer.
(Nan~ and title of corporate officer)
r Ixdhle
3. ~ULAllOM
4, FINAL - CON~~M~tI~
]kdlders License 1,,Io .......................... BE COMPL~i~
ALL CONSTRUCTIO# ~l~tLL
Pltmb~rs License 1~o ...................... ' ' ' '" ' THE REQUIREMENT8 OF
Electricians I,ice~e No ...................... STATE CONSTRUCTION
n,.ber T~ade's License Ho ................. CODES NOT
l~cation of lend on .ahlch proposed ,ora ,tll be. dcme...~..~. :¢:.>.-..~. ·/.r,~. ....... /.'7.; ............ '~.. ::~. .... ~.:.~;- ......
Bcose lx~ ~er Street: l~et
......... .... .........
~q Tax
~ivisi~. ................................ · . ... ~11~ ~p ~ ......... ~, ..... ]~t ...............
2. State exlsC~
,. .... ......... ...........................................
%%~r ............... : ......
b. lnte~ u~ a~ ~ .... ¢~.'.;.~ ........................................ ' ' "
8.
I0.
II,
12,
13.
14.
15.
14'am'e oi work (check ~liicl~ e! flicabla)~ Ix~ Iluildin~ .. ~ ...... ~i~i~ .. ~ ..... Al ~era~ion .~ .......
[~l~ir .... ~ ...... ~mai .~,~ .... ' ....I~li~i~ ,..~. ....... Ocher ~ ~ .~].~.~...~ .....
~ripci~)
[ (to ~ imid ~m ~lllng this al~licati~)
l
~llh~ ~mita ..~ ....... Ik~l~r o~ t~llina traits tm aa~l ~r ..~. ...........
le aaraae, ~idmr oe care ...].~[ ........................... ...
Ilt,enalam oi ~m atn~mre ~itll alterathma or ~Mitioas; ~roflC ...~ .......... ~ar .~ ............
I~pth ....... ~ ........... lh~lt ...... ~ ............ ~mtmr o[ 8tortes .... ~ .........
lilt,un, lam ot entire ~
. . · ..............................
~m or u~ district In ~tdt [pr~i~s am alarm . . [ t--~.q_~ ..... J
~a propel ~C~ti~ violate aa~ ~lna I~ onlJ~e or reallart~, ~ ....... ; ....... ;>'- .....
' ,
~a o~ ardtit~t ......... ~ ........................ ~lresa ............................ H~ ~ ..............
· ~m o~ C~tr~tor ............. ,.
~ .................. ~klreaa ............................. H~ ~ ..........
Ts this p~rty within ~ f~t. ol a thhl ~1~ * ~ ..~ ..... ~ ..........
PI.OT DIAGIIAHt.
I~cate clearly and dlaLln~tly !all I~lhllage, droller ~lattng or pro~, ~ l~icake alt ~t-~ dl~nliona
iran prol~r~y li~a. Oi~ at~t a~TI his mdmr or ihecrlpri~ according to ~, a~ ~ arr~c ~ma aal talicare
~tl~r interior or co~r
(Castractor, agm~t~or~rat~ officer, etc.)
off said t~r or ~rs, efxl is thly ~tl~ri~ to i~rfona or lu~e l~rfi)r ~l Lie ~ttl ~[k alii LO n~ke taxi file I. hia
alq)l ieatiou; Umt ell 8Catemnt8 cixlt~l.~ in this al~)tieat[~, ore tn~ to the I~st o~ his ~t~e m~ I~Hefi t ~1
that tlt~ ~rk wilt I~ ~r~on~l in th~ a~m[mr ~t ~orth in Ute application flJ.~ tlmr~tfl~.
. ~ i ~ (SlBtml:t,'e Of Applicant)
~e~ P~blIo, ~tatO ~ow Y~
Oua?l~ In Suff~ C~un~
Tern ~ru M~ 31, ~
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