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HomeMy WebLinkAbout25075-zFORM 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. 25075 Z Date JULY 31 98 Permission is hereby granted to: for : J. NORKUS & G. MOULTON PO BOX 655 MATTITUCK~NY 11952 CONSTRUCTION OF A METAL SHED AS BUILT & AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated JULY Building Inspector. 7972 GREAT PECONIC BAY BLVD LAUREL Block 0011 Lot No. 016 30 98 and approved by the Fee $ 35.00 ~ec~r ORIGINAL Rev. 2/19/98 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. OERTIFICATE OF OCCUPANCY No: Z-25868 Date: 07/31/98 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 7972 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 11 Lot 16 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1998 pursuant to which Building Permit No. 25075-Z dated JULY 31, 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 CONSTRUCTION OF A METAL SHED AS BUILT AND AS APPLIED FOR. The certificate is issued to J. NORKUS & G. MOULTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Bu-i l~/n~ Inspe~ Rev. 1/81 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 buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ali buildings, property line~ 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/t0 of I% lead. 5. Commercial building, industrial building, multiple residences and similar build~ 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 '!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 applica~ 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~e-existingJ~uilding~:'~' q?~ t'~c~')a_.L~'/~ ........ ". ..... · ~treet House No. Hamlet / Onwer or Owners of Property.~..W,..~.~?.*..~..~.~/~.~' ~ ,~ ~ Count No 1000, ....... Bloc .... .......... ............ Subdivision ...... Filed Map ............ Lot .... Permit No Date Of Permit Applicant . . Health Dept Approval Underwriters Approval ........... Planning Board Approval · .. Request for: Temporary Certificate... Final~~ Fee Submitted: $ ..... ~ ................ ............. ............. IIIII/ JUL 2 1[ 1 ,0.N I'--I / / SOUTIIOI,D, N.Y. 1197 I ¢im~ at .................................. .............. APPLICATION FOR BUll,DING PERHIT INSTRUCTIONS BOARD OF IlEAl/HI ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIEGK ......................... SEPTIC FORH ................... ,NOTIFY: CALL .................. HAIL TO: .................... Date ................ ,19 .... a. ~his nl~llcatlon n~qt tm co~letely filled in Iry tyl~.n-lter or in ink a~l ~itt~ to the ~dldlng lm~ctor ~ith 3 ~ts o[ plans, ac~ate plot plan to scale. Fee accordi~ to sch~fle. b, Plot plan ~ing l~ati~ of lot ~ of lmildi~s ~ ~mi~s, relati~ship to ~jolning Wmlses or ~bllc ti,is ~1 icatlm. c. qlm ~rk ~ hy this ~licatlm ~ mt Im ~1 Imfore ismm~e of ~fildi~ Pemlt. d. U~ al~al of this al~fiicati~l, II~e I~ildir~ 'lns~ctor will iss~ a ~ildh~ ~m{t to the a~llcant. R~cl, ~mit ~mll ~ kept ~ llm ~i~s ~ailnb]e for im~tim thu~j~it the ~rk. e. ~ I~ildi~ ~mll ~ ~pled or u~l in ~mle or in Imrt for nl~ p~rl~ ~lat~r mtll a C~rtlfieate of ~m~ ~,11 h~ lm ~t~l ~ tim ~ihli~ In~ctor. ~51~'rl~ IS i~l~J~ ~g to tim I~ilding ~rtmnt for IJle ismm~e of a ~lldi~ Remit D~r~ant to the ~ildi~ ~ O~i~e of tim T~ of ~tt~hl, ~fffolk ~ty, ~ York, ~ other a~llcable l~s, ~i~es or ~latims, for tim ~st~tlm o[ Imildi~s, aklJLims or alterati~s, or f~al or ~ition, ~s ~in , .- ~--~ ~ .......... : ~ .... ~ ..... : .... (~ili~ ~lress of ~lxc~t) State ~mtlmr ~t 18 ~r, i~, a~nE, ardut~t, engulf, ~ral c~tractor~ electrician, pl~mr ~ ImOder. ~ o~: ~r ~~-~~-- .~v~x.z ... nv .........~...~. .......... . ..........:.. ? ........... ~ .... .a~t~r~a~a~~ tim t~ mi1 or latest d~l) . . ., ~,} ', .. "' . .... Pl~m~ ~c~ ~. ,q ~.3"* ~ ~*'~N ............ gl~trmi~, Lxc~ ~.. .... ~....~. ............ I. I~ati~ o[ la~ ~ ~id~ ~1 ~rk will Im i~ ..... : .....~ ......... ''"*""*y~:" i .................. ............... ........ .................................... I~ ~mr St~t / l~et ~livlslm ...................................... Fil~ ~p ~ ................ l~t . n (~) 2. fitat~ ~isting u~ ~ ~ of ~i~s amlfihte~ u~ aed ~ of I~1 cmstmcti~: a. Ex~st~ u~ ~ ~ ....... , ...... ~--K:;J. LV.~ .................. ~ .......... ..................... / Imid I~ garage~ art~r o~ cm'~ ..~ ................................... 6. [1: bmi~) ~.mreiM or m~d ~:eUl~y, ~eify nal.u~ m~l exten~ of e~cl~ Lyf o~ u~ ...................... 8. I)i.eaai~m of eutire i~ ~l~trt~:licm: Fumt ..... , ........... I~ar ............... ~plh .............. II. ?xam or u~ dlstrlcC i. ~dd~ pm.iaea a~e 12. lkma prolm~l camt~tltm v~olate any ~sdng l~. ordh~e or regular:fort: ........................ 16. ~ma of ~mr of pmnl~a .} ......................... ~klreaa .............................. ll~m ~ ...... ~ ...... ~e of Arddtect .......... ~ ~klreaa H~ ~. ~.m of F~t'ractor ' ~kh- HIolm ~) PI,OT 1) I'AI}IIAH l~:ete clearly m~ dlnd~H al1 bdhlh~ ~mtlm~ exisdng or pro.sM, nM l~xliea~e ~ll ~et-t~k dimtmionn fro. prol~rty lh~a. gi~ at~[: h~l hick ~imr or &aeriptitst acco~ling to t~l, al~ ~l~ atreek ~ma oral i~licate ~dmtlmr interior or conmr lot, OCCUPANt7 OR USE/8 'UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APIIIOIED AS NOTED ? ~'~ B?. J . ~ ~ ~PA~MENT AT ~t~ I ~ ~ 4 ~ FO~ THE 1 ~ ' ~ REOUIRED 4. FINAL - CONGTRU~iON MUST gE ~[ FOR C,O. A~ CONGTflUCTION SHALL ~EET THE REOUIREMENTS OE THE N % ~ATE CONGTRUCTIOfl & E~ER~Y (Mmic ol individual Itll~Ji'Ul~ collLriJ Ik~, iii Ihl] .......... CODES, NOT RESPONSIBLE FOR ((kmLractor, aBmi:, corlx)rate offh:e[, eL(:.) of ~mid (~a~m' Ill' (~,mr., .I.I t~t ch ly aulhol ized rD ix~i.fo,.i ot have Ix~m'fo.lv(I lime aa~(I ~)tk elKI Io ll~lke Illxl filo IhJll appl lc. al. ioni Ihal. ill I. ~LuIL~I~,~IIB ( [)lltah~l iii Ihi[I al)ill [c. atioil are I.n~ Lo the Imtll: Ihal Ihe ~)lk ~ill I~ lerl'onlt~l hl~ Ihe il~llll~r sel: I'm lh iii lira appl. ical:ion [iled II~rc~ilh. .......... ..... ..... JEANN~ M. ~ uommiw~ ~M~ ,,, SURVEY OF PROPERTY A T LAUREL TOWN OF SOUTHOLD SUFFOK COUNTY, N. Y 1000 ~ 126- 11- 16 Scale, I" = 30' , May 29, 1998 JUNE 10, 1998 (certification) CERTIFIED TO~ TOPAZ ABSTRACT CORP. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK JOSEPH BAJADA LORRAINE H, WOLF AREA = 30,199 sq, ft. to tie line ANY ALTERATION OR ADDITION TO THIS SURVEY I$ A VIOLATION OF' ~ECTION ~',209 OF THE NEW YORK STATE EDUCATION LAW~ EXCEPT AS PER SECTION 7zog'suBDIVlSION 2, ALL CERTIFICATIONS WIC~ "~. .S. LICo NO, ~96fB