HomeMy WebLinkAbout24615-zFORM NO. 4
TOM OF SOUTHOLD
BUILDINO DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25811
Date: 07/O2/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 9955 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 2 Lot 5
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 29, 1997 pursuant to which
Building Permit No. 24615-Z dated JANUARY 23, 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 "AS BUILT" AS APPLIED FOR.
The certificate is issued to RICHARD & MIRIAM KLEIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
Bu~-lding InsFct6r
FORM NO.~,
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
24615
Z
JANUARY 23 98
Date .............................................................. 19 ...........
Permission Is hereby granted to:
RICHARD & MIRIAM KLEIN
~J5 MINEOLA AVE
CARLE PLACE~NY 11514
to..,..~EZ.,,~...~U~,.,~,~,,.~E~..5~,.,::,,.~,.~,~,~Z,.,[', ..........................................................
9955 SOUNDV IEW AVE
SOUTHOLD
at premises located at ...............................................................................................................................
Coun~/TaxMap No. 47:~B89 Section 059 Block 0002 Lot No. 005
pursuant to application dated SEPTEMBER 29 19......~.7.. ..... and approved bythe
Building Inspector.
35. O0
Fee $ .........................
Rev. 6/30/80
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
~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 applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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 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
Date ............
New Construction ........... 01~ Or Pre-existine Building ........ ~ ~' '7;3
o ation of Froperty. i'"W-__ Ha et . ./Z .71 ..........
~ouse ~0. . -
9nwer or Owners of Proper ......................
=onnty T~ ~p ~o ,0oo. Section...O.O.~ ...... Bloc~...~.~.~- ..... ~ot ...................
Subdivision · .. . Filed Map . . Lot ....
Permit No ........ [...,...Date Of Permit ....... cant .............................
~ealth Dept. ~pproval....................---.-.Underwriters Approval... ......................
Planning Board Approval ...
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ..... ~ · .~ .............
APPLICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 17, 1998
Richard & Miriam Klein
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.
XX 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).
BUILDING PERMIT # 24615-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
r' UIIIIII^'I' I IiII 2 II1~
i
--Shown in 8x12 --
{.J{{ {99?
-- Shown in 8x14 --
siding
:edar
hed if...
the inside of
r lawn and ask if
sale.
[ge capacity ends
workshop/craft
r marriage.
5pping over
)or = avalanche.
· Most popular material
· Withstands all types of weather
· Classic tongue-and-~oove construction
· Affordably priced
This is one of our most popular layouts
with double door on the gable end and
an optional 26" single door in front...
easy access for riding lawnmower
and shed owner,t
Above unit shown with gambrel style
roof and optional 26" single door.
· Durable and weather-resistant
· Pleasant aroma naturally repels insects
and resists i'otfing
· Ages beautifully
· Excellent base for stains and paint
· One of the most stable types of lumber;
resists warping and buckling
* Cedar siding may be 6" or 8" tongue and groove at
the discretion of Sheds USA.
Pool Cabana, Gardener's Retreat,
Child's Clubhouse, Artist's/Sculptor's
~ Studio, Gu~t;;tG~~/~"Cabin" or //
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS~ION
[ ] FRAMING [ ~/I~INAL
[ ] FIREPlACE&CHIMNEY
REMARKS. ~~*~ _~
DATE
INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
]FRAMING [ ~FINAL (/~/~ ~
] FIREPLACE & CHIMNEY
REMARKS:
765-X802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] FIREPLACE & CHIMNEY
'I
SEP. 2 g
BLDG. DEPT.
T~WN OF SOUTHOLO
FOR14 NO. I
TO~/N OF SOUTHOLD
BUILDING DEPART~IENT
TOI~N HALL
SOUTDOLD, N.Y. 1197 I
TEL: 765-1802
.
APPLICATION FOR BUILDING PEI~IT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... ' ......
SURVEY ........................
CHECK .........................
SEPTIC FORPI , .
NOTIFY:
CALL ................. .
[~AIL TO: ............. ' .......
a. 'Ibis application ~t be caupletely filled ia by t~iter or in i~ ~1 al~itt~ to ~e ~ilding Ins~ctor with
} ~ts o[ pla~, aemrate plot pl~ to ~ale. F~ acco~i~ to ~le.
b. Plot pla ~i~ l~ti~ of lot ~ of ~ildi~s ~ ~s. ~lation~ip to ~joini~ pr~i~a ~ ~)lic
struts or areas, ~ givi~ a ~tail~ ~ripti~ of la. it of pm~rt~ ~st ~ dr~ ~ ~e dia~ ~id~ is ~rt of
this a~licati~.
c. ~e ~rk c~r~ ~ fids a~licati~ ~y ~t ~ c~ed ~fore issue of ~ildi~ Pemit.
d. U~ a~al of ~is a~li~ci~, t~ ~ildi~ Ins~cCor will is~ a ~ildi~g Pemit to fl~e appli~nc. ~ch
~mlt ~all ~ ~pt ~ fl~ ~i~s ~ail~le for in~ti~ th~t tim x~rk.
e. ~ ~ildi~ ~ll ~ ~pi~ ~ ~ in ~le or in ~rt for ~ ~ ~t~er ~til a ~rtificate of
~.I~I~ IS ~Y ~ to t~ ~ildi~ ~r~nt for the issue of a ~ilding h~t ~r~t to the
lhildi~ ~ ~i~e of ~ T~ of ~ld, ~ffolk ~ty, ~ Yo~, ~ other a~li~le ~s, ~di~es or
~lati~s, f~ t~ mt=tim of h~ildi~, ~iti~s or alterati~s, or for r~al or ~lition, as berein
(hscri~. ~ a~li~t a~s to c~ly wi~ all ~lic~la l~s, ordi~es~ ~ildi~ ~, ~slag e~e, ~
re.latins, m~ to ~it ~ri~ in--tots ~ ~i~s ~ i~~~$~i~s.
...... ~ ~.[ ..... ' ....: ............
(Si~ture of a~llc~t, or ~, if a co.ration)
(~illng ~ress of
State M~tlmr applicaut is °~ner, ~essee, agent, architect, engineer, general contractor, electrician, plunber or builder.
........................... ~..04.~... : ...... ~ ........................................................... ..
Nam of o~raer of premises ..................
(as on lt~e tax roll or latest deed)
If applicant is a corporaticu, signature of duly autberized officer.
(Na~e aed title of corpOrate officer)
l~dlders I,icenseNo ..........................
Phrabers Liceneel/o ..........................
Electricians License No ......................
O~mrTrade'sLicenseNo .....................
JJ. j. J Jj JG
I. INIUI,~INm
ALI. eONllII,P.~'X)# 8HAIl, ii. ET
THI IIIQUIllEMENTS OFTH! N.Y.
I~:cation of land on daich proposed york will be done, .~.'.. ..............
8ulxlivlslon ....... Filed la. ap No ............. l~ot
(~)
2. State existing t~e and occupancy of praaises and intended tme and cocopam~ o~ propoaed'ccostructlon:
a. Existing ~me and occupan~ ..... ~.~-~1~.~..: ..........................................................
b. Inteeded use aed occupancy ................................ y;Z ).,fdb~.,i.~.~.~b~~. ...............
3. r~m~re of ~otk (check uhtch a licable): Heu l~ilding .......... ~tti~ .......... Al,~er~l~ 'n ........
,~,~,~ ............ ~,, ... ....... ~,~ ............ o,,, ~ ...~..~.~?....~
(to ~ ~id (m filing Uds a~licad~)
If garage, ~lmr of car~ .... r ...... ~-/' .....................
6. If Ixmi,msa~ cmrcial or mi~ ~Qqmncy, s~i~ ~ture ~l ~tent of eadx ty~ of u~ ......................
7. I)in~nai~m of axiatiag atn~tu~ea, if any: l~t.../.~ .......... ~ar .... LP. ....... ~pth ...0.
,
I~i~
I I. 7~ or u~ district in ~dd~ ~r~i~n a~ s~t~ .................................................
12. ~ propel comL~ci~ vibiate nny ~dng 1~ o~i~me or regulad~r ........................
PI.OT DIM;RAH
l~ate clearly n~ diati~tly ~I1 l~ildi~a, ~mLlmr ~isting or pro~, nmi i~licate
~l prt~rty li~s. Oi~ at~t ~ bl~ ~r or ~seripti~ ~co~tng to t~, a~ M~ street m~es aM i~icare
,+It
· .l~irB &fly al. rom, 31ClX)Scs aM tmy~ that he is the qq)l leant:
I
(C~tractor, agent, lcor~ral:e officer, etc.)
of said ~mr or ~rs, a*d is duly ]*ml.horlz~ to ~rfom or h~e [~rfo~
apl)l.lcad~q that all stata~ ~ts c~al~ in this aM)licatio, are tn~ to the
.
that the ~rk will ~ [~ffon~l in I.l~ i~ol~r ~t forth in the nl~i. ienti~
($1g~mlture of Applicaat)