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